Gladys Roldan, PA - Medicare Physician Assistant in Phoenix, AZ

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Gladys Roldan, PA is a medicare enrolled "Physician Assistant" in Phoenix, Arizona. She graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Sound Physicians Emergency Medicine Of Arizona Inc and her current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 263-1508.

Gladys Roldan is licensed to practice in Arizona (license number 3272) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063484517.

Contact Information

Gladys Roldan, PA
4212 N 16th St,
Phoenix, AZ 85016-5319
(602) 263-1508
Not Available

Map and Direction




Provider's Profile

Full NameGladys Roldan
GenderFemale
SpecialityPhysician Assistant
Experience25 Years
Location4212 N 16th St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gladys Roldan graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1063484517
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 10/31/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4284658451
  • Enrollment ID: I20060116000325

Medical Identifiers

Medical identifiers for Gladys Roldan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063484517NPI-NPPES
993338MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3272 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phoenix Indian Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sound Physicians Emergency Medicine Of Arizona Inc579906665041

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. Gladys Roldan allows following entities to bill medicare on her behalf.
Entity NameHonorhealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801092564
PECOS PAC ID: 1456258607
Enrollment ID: O20031216000350
Entity NameGood Health Medical PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144764432
PECOS PAC ID: 3779680962
Enrollment ID: O20070523000237
Entity NameSound Physicians Emergency Medicine of Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700328663
PECOS PAC ID: 5799066650
Enrollment ID: O20170109000725
Entity NameArizona Advanced Surgery LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346880838
PECOS PAC ID: 0547690166
Enrollment ID: O20200423000406
Entity NameTec Emergency Physicians of Arizona, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245772870
PECOS PAC ID: 6204256084
Enrollment ID: O20201016000157
Entity NameEmpower St Josephs PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154015089
PECOS PAC ID: 2961866173
Enrollment ID: O20231222001956

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. Gladys Roldan 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 AddressPractice Location Address
Gladys Roldan, PA
4600 S Mill Ave, Ste 280,
Tempe, AZ 85282-6850

Ph: (480) 305-2888		Gladys Roldan, PA
4212 N 16th St,
Phoenix, AZ 85016-5319

Ph: (602) 263-1508

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.