| Ricardo A Roa, MD | |
|
1611 27th St, Portsmouth, OH 45662-6931 | |
| (740) 356-6836 | |
| (740) 356-6806 |
| Full Name | Ricardo A Roa |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 41 Years |
| Location | 1611 27th St, Portsmouth, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700821907 | NPI | - | NPPES |
| 000000222804 | Other | OH | OH MEDICAID UNISON |
| P00420122 | Other | RAILROAD MEDICARE | |
| 1044883 | Other | WV | BWC |
| 1700821907 | Other | OH | MOUTAIN STATE BC/BS |
| 310917085172 | Other | OH | OH MEDICAID CARESOURCE |
| 0954356 | Medicaid | OH | |
| 0100708000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 17624 (West Virginia) | Secondary |
| 207Y00000X | Otolaryngology | 35-07-8877-R (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Prosser Memorial Hospital | Prosser, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Somc Medical Care Foundation, Inc. | 9436061645 | 369 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo A Roa, MD 1611 27th St, Portsmouth, OH 45662-6931 Ph: (740) 356-6836 | Ricardo A Roa, MD 1611 27th St, Portsmouth, OH 45662-6931 Ph: (740) 356-6836 |
Dr. George W Shahade, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1611 27th St Ste 202, Portsmouth, OH 45662 Phone: 740-356-6836 Fax: 740-356-6806 |