| Roger C Roque, MD | |
|
720 N Bay St Ste 8, Eustis, FL 32726-2964 | |
| (352) 357-1014 | |
| Not Available |
| Full Name | Roger C Roque |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 720 N Bay St Ste 8, Eustis, Florida |
| 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 |
|---|---|---|---|
| 1437156916 | NPI | - | NPPES |
| 31407 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME70970 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Better @ Home | Lady lake, FL | Home health agency |
| Pinnacle Home Care Of The Villages Inc | Fruitland park, FL | Home health agency |
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Uf Health Leesburg Hospital | Leesburg, FL | Hospital |
| Orlando Health South Lake Hospital | Clermont, FL | Hospital |
| Adventhealth Waterman | Tavares, FL | Hospital |
| South Campus Care Center | Leesburg, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roger Roque Md Llc | 3779962451 | 2 |
| Pathways Clinical Partners, Llc | 5597162693 | 16 |
| Entity Name | Roger C Roque Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932215043 PECOS PAC ID: 9234135187 Enrollment ID: O20070209000304 |
| Entity Name | Pathways Clinical Partners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477124790 PECOS PAC ID: 5597162693 Enrollment ID: O20210915003737 |
| Entity Name | Roger Roque Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205571015 PECOS PAC ID: 3779962451 Enrollment ID: O20220627002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger C Roque, MD Po Box 1386, Eustis, FL 32727-1386 Ph: (352) 357-1014 | Roger C Roque, MD 720 N Bay St Ste 8, Eustis, FL 32726-2964 Ph: (352) 357-1014 |
Paul Louis Tran, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2906 David Walker Dr, Eustis, FL 32726 Phone: 352-363-5921 | |
Alicia Benjamin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 N Bay St, Eustis, FL 32726 Phone: 352-589-6367 | |
Robyn Lee Reese, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2906 David Walker Dr, Eustis, FL 32726 Phone: 352-363-5921 Fax: 407-589-5771 | |
Mr. Charles A Tulley Iii, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1101 S Eustis St, Eustis, FL 32726 Phone: 352-589-4111 Fax: 352-589-4245 | |
Stephen E Young, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Prevatt St, Eustis, FL 32726 Phone: 352-253-2511 Fax: 352-253-2522 | |
Donald T Eagle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Jennings Ave, Eustis, FL 32726 Phone: 352-357-5311 Fax: 352-357-0659 | |
Dr. Sharon Ann Nickell-olm, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Prevatt St, Eustis, FL 32726 Phone: 352-357-2600 Fax: 352-357-3400 |