Roosevelt Bantoe Totaye, CRNP is a medicare enrolled "Nurse Practitioner - Family" physician in East Stroudsburg, Pennsylvania. He graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lehigh Valley Physician Group and his current practice location is
206 E Brown St, East Stroudsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 426-2301.
Roosevelt Bantoe Totaye is licensed to practice in Pennsylvania (license number SP032033) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467319491.
Physician's Profile
| Full Name | Roosevelt Bantoe Totaye |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 206 E Brown St, East Stroudsburg, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Roosevelt Bantoe Totaye graduated from medical school in 2024
NPI Data:
- NPI Number: 1467319491
- Provider Enumeration Date: 01/09/2026
- Last Update Date: 04/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 9032692256
- Enrollment ID: I20260316000963
Medical Identifiers
Medical identifiers for Roosevelt Bantoe Totaye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467319491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | SP032033 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP032033 (Pennsylvania) | Primary |
| 207R00000X | Internal Medicine | SP032033 (Pennsylvania) | Secondary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP032033 (Pennsylvania) | Secondary |
| 208600000X | Surgery | SP032033 (Pennsylvania) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | SP032033 (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lehigh Valley Physician Group | 3072425123 | 2470 |
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. Roosevelt Bantoe Totaye 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 |
|---|
Roosevelt Bantoe Totaye, CRNP
206 E Brown St,
East Stroudsburg, PA 18301-3006
Ph: (570) 426-2301 | Roosevelt Bantoe Totaye, CRNP
206 E Brown St,
East Stroudsburg, PA 18301-3006
Ph: (570) 426-2301 |
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