Ronald Regin Roque, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fresno, California. His current practice location is
1313 E Herndon Ave Ste 105, Fresno, California. You can reach out to his office (for appointments etc.) via phone at
(559) 450-5372.
Ronald Regin Roque is licensed to practice in * (Not Available) (license number ) 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 1306588199.
Physician's Profile
Full Name | Ronald Regin Roque |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1313 E Herndon Ave Ste 105, Fresno, California |
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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: 1306588199
- Provider Enumeration Date: 04/11/2022
- Last Update Date: 02/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002336765
- Enrollment ID: I20250225001435
Medical Identifiers
Medical identifiers for Ronald Regin Roque such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306588199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A197809 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Ronald Regin Roque allows following entities to bill medicare on his behalf.
Entity Name | Saint Agnes Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558819482 PECOS PAC ID: 7618946369 Enrollment ID: O20170125002669 |
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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. Ronald Regin Roque 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 |
Ronald Regin Roque, MD 2458 Glen Haig Way, San Jose, CA 95148-4113 Ph: (408) 893-1453 | Ronald Regin Roque, MD 1313 E Herndon Ave Ste 105, Fresno, CA 93720-3306 Ph: (559) 450-5372 |
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