Michael Roman, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Stamford, Connecticut. His current practice location is
9 W Broad St Ste 3, Stamford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 208-9129.
Michael Roman is licensed to practice in * (Not Available) (license number ) 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 1346745254.
Physician's Profile
| Full Name | Michael Roman |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 9 W Broad St Ste 3, Stamford, Connecticut |
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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: 1346745254
- Provider Enumeration Date: 03/24/2018
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385027044
- Enrollment ID: I20220815000042
Medical Identifiers
Medical identifiers for Michael Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346745254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 471474 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Roman allows following entities to bill medicare on his behalf.
| Entity Name | Mccd Psychiatry Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20220223000161 |
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| Entity Name | Mccd Fl Psychiatry Services Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230123002638 |
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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 Roman 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 Roman, MD 9 W Broad St Ste 3, Stamford, CT 06902-3734 Ph: (203) 208-9129 | Michael Roman, MD 9 W Broad St Ste 3, Stamford, CT 06902-3734 Ph: (203) 208-9129 |
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