Mr Kevin Roa, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Las Vegas, Nevada. His current practice location is
620 S Tonopah Dr, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 413-1391.
Mr Kevin Roa is licensed to practice in Nevada (license number 857971) 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 1609597392.
Physician's Profile
| Full Name | Mr Kevin Roa |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 620 S Tonopah Dr, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609597392
- Provider Enumeration Date: 09/09/2022
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991174179
- Enrollment ID: I20221209001603
Medical Identifiers
Medical identifiers for Mr Kevin Roa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609597392 | NPI | - | NPPES |
| 1760195796 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 857971 (Nevada) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 857971 (Nevada) | 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. Mr Kevin Roa allows following entities to bill medicare on his behalf.
| Entity Name | Eugene Rosenman Md Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265568703
PECOS PAC ID: 9436181237
Enrollment ID: O20050831000971 |
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| Entity Name | Luis Carlos O Ortega |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760195796
PECOS PAC ID: 2062886617
Enrollment ID: O20230707002947 |
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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. Mr Kevin Roa 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 |
|---|
Mr Kevin Roa, PMHNP
2775 S Jones Blvd Ste 101,
Las Vegas, NV 89146-5632
Ph: (702) 685-3300 | Mr Kevin Roa, PMHNP
620 S Tonopah Dr,
Las Vegas, NV 89106-4029
Ph: (702) 413-1391 |
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