Roger E Bassin, MD is a medicare enrolled "Plastic Surgery" physician in Viera, Florida. His current practice location is
1705 Berglund Ln, Suite 103, Viera, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 255-0025.
Roger E Bassin is licensed to practice in Florida (license number ME85585) 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 1821121237.
Physician's Profile
| Full Name | Roger E Bassin |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 1705 Berglund Ln, Viera, Florida |
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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: 1821121237
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052224904
- Enrollment ID: I20080416000520
Medical Identifiers
Medical identifiers for Roger E Bassin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821121237 | NPI | - | NPPES |
| 51442Y | Other | FL | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | ME85585 (Florida) | Secondary |
| 208200000X | Plastic Surgery | ME85585 (Florida) | Primary |
| 2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | ME85585 (Florida) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | ME85585 (Florida) | Secondary |
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. Roger E Bassin allows following entities to bill medicare on his behalf.
| Entity Name | Roger E Bassin Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588849780 PECOS PAC ID: 5395899280 Enrollment ID: O20090811000714 |
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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. Roger E Bassin 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 |
Roger E Bassin, MD 1705 Berglund Ln, Suite 103, Viera, FL 32940-6231 Ph: (321) 255-0025 | Roger E Bassin, MD 1705 Berglund Ln, Suite 103, Viera, FL 32940-6231 Ph: (321) 255-0025 |
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