Michael C Roossin, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Newport Beach, Arkansas. His current practice location is
One Hoag Drive, Newport Beach, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(949) 764-5570.
Michael C Roossin is licensed to practice in California (license number G52114) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447204250.
Physician's Profile
| Full Name | Michael C Roossin |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | One Hoag Drive, Newport Beach, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447204250
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 06/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446153860
- Enrollment ID: I20110307000048
Medical Identifiers
Medical identifiers for Michael C Roossin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447204250 | NPI | - | NPPES |
| 00G521140 | Medicaid | CA | |
| 00G521140 | Other | CA | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | G52114 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael C Roossin allows following entities to bill medicare on his behalf.
| Entity Name | Newport Center Radiology Associates Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013951714 PECOS PAC ID: 7810800166 Enrollment ID: O20031111000938 |
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| Entity Name | Newport Harbor Radiology Associates Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053355792 PECOS PAC ID: 1850285735 Enrollment ID: O20040211000758 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael C Roossin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michael C Roossin, MD 12060 Alzina Ct, Las Vegas, NV 89138-1100 Ph: (949) 874-1276 | Michael C Roossin, MD One Hoag Drive, Newport Beach, AR 92663-4162 Ph: (949) 764-5570 |
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