| Roger James Wolcott, MD | |
|
5902 66th St, Lubbock, TX 79424-3048 | |
| (806) 797-2139 | |
| (806) 797-3105 |
| Full Name | Roger James Wolcott |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 34 Years |
| Location | 5902 66th St, Lubbock, Texas |
| 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 |
|---|---|---|---|
| 1871599944 | NPI | - | NPPES |
| 110687404 | Medicaid | TX | |
| 172052601 | Medicaid | TX | |
| 172053401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | J4620 (Texas) | Secondary |
| 174400000X | Specialist | J4620 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beyondfaith Homecare & Rehab Llc | Lubbock, TX | Home health agency |
| Interim Healthcare Of West Texas Llc | Lubbock, TX | Home health agency |
| Calvert Home Health Care Ltd | Lubbock, TX | Home health agency |
| Covenant Medical Center | Lubbock, TX | Hospital |
| University Medical Center | Lubbock, TX | Hospital |
| Roosevelt General Hospital | Portales, NM | Hospital |
| Lubbock Heart Hospital Lp | Lubbock, TX | Hospital |
| Covenant Childrens Hospital | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dora Roberts Rehabilitation Center | 0941285498 | 110 |
| Roger J. Wolcott, M.d., P.a. | 9335190420 | 3 |
| Entity Name | Roger J. Wolcott, M.d., P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356521892 PECOS PAC ID: 9335190420 Enrollment ID: O20050207000286 |
| Entity Name | Vibra Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20131202000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger James Wolcott, MD 5902 66th St Unit B, Lubbock, TX 79424-5933 Ph: (806) 797-2139 | Roger James Wolcott, MD 5902 66th St, Lubbock, TX 79424-3048 Ph: (806) 797-2139 |