Vanessa Michele Roll, NP is a medicare enrolled "General Practice" physician in Versailles, Indiana. Her current practice location is
112 West South Street, Versailles, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 584-1555.
Vanessa Michele Roll is licensed to practice in Indiana (license number 28172068A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164102117.
Physician's Profile
| Full Name | Vanessa Michele Roll |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 112 West South Street, Versailles, Indiana |
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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: 1164102117
- Provider Enumeration Date: 07/24/2023
- Last Update Date: 08/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153318001
- Enrollment ID: I20241101001833
Medical Identifiers
Medical identifiers for Vanessa Michele Roll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164102117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 71015909A (Indiana) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 28172068A (Indiana) | Secondary |
| 208D00000X | General Practice | 28172068A (Indiana) | Primary |
| 163WG0600X | Registered Nurse - Gerontology | 28172068A (Indiana) | 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. Vanessa Michele Roll allows following entities to bill medicare on her behalf.
| Entity Name | Total Care Family Practice Rick Bobay Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356674162 PECOS PAC ID: 5991844631 Enrollment ID: O20091209000326 |
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| Entity Name | Sound Physicians Of Indiana, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
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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. Vanessa Michele Roll 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 |
Vanessa Michele Roll, NP 112 West South St., Versailles, IN 47042 Ph: (812) 584-1555 | Vanessa Michele Roll, NP 112 West South Street, Versailles, IN 47042 Ph: (812) 584-1555 |
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