| Rick J Roller, DO | |
|
125 E Southern Ave Ste 120, Muskegon, MI 49442-5041 | |
| (231) 672-4950 | |
| (231) 672-5519 |
| Full Name | Rick J Roller |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 125 E Southern Ave Ste 120, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588224083 | NPI | - | NPPES |
| 1588224083 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101027176 (Michigan) | Primary |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Entity Name | Mercy Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Rick J Roller, DO Po Box 776982, Chicago, IL 60677-6982 Ph: (231) 672-2119 | Rick J Roller, DO 125 E Southern Ave Ste 120, Muskegon, MI 49442-5041 Ph: (231) 672-4950 |
Patrick Pavwoski, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444 Phone: 231-672-4243 Fax: 231-727-4214 | |
Taylor R Anderson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444 Phone: 231-672-4243 Fax: 231-727-4214 | |
Dr. Leon Smith, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 445 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-4359 Fax: 231-733-6151 | |
Virgilio F Vasquez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1150 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-733-8231 | |
Miss Nancy Claire Devine, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2272 E. Apple Ave, Muskegon, MI 49442 Phone: 231-728-4797 | |
Dr. Gary G Gurden, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 957 Brookhaven Ct, Bldg F, Muskegon, MI 49442 Phone: 855-231-9662 Fax: 231-903-4284 | |
Kasim Qureshi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1150 E Sherman Blvd, Ste 2400, Muskegon, MI 49444 Phone: 231-672-4243 Fax: 231-727-4214 |