Jason Roach, PA-C - Medicare Physician Assistant in Peoria, IL

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Jason Roach, PA-C is a medicare enrolled "Physician Assistant" in Peoria, Illinois. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Carle Eureka Hospital, Carle West Physician Group Inc and his current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-2036.

Jason Roach is licensed to practice in Illinois (license number 085.004474) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1104179795.

Contact Information

Jason Roach, PA-C
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 655-2036
Not Available

Map and Direction




Provider's Profile

Full NameJason Roach
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason Roach graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1104179795
  • Provider Enumeration Date: 10/19/2012
  • Last Update Date: 10/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1850520008
  • Enrollment ID: I20140210001245

Medical Identifiers

Medical identifiers for Jason Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104179795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085.004474 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carle Home CareChampaign, ILHome health agency
Carle Eureka HospitalEureka, ILHospital
Carle Bromenn Medical CenterNormal, ILHospital
Saint Francis Medical CenterPeoria, ILHospital
Carle Health Methodist HospitalPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carle Eureka Hospital387091439310
Carle West Physician Group Inc8921420308282

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. Jason Roach allows following entities to bill medicare on his behalf.
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameCarle Eureka Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1184644023
PECOS PAC ID: 3870914393
Enrollment ID: O20200609000028
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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. Jason Roach 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
Jason Roach, PA-C
280 E Greenwood St,
Morton, IL 61550-2572

Ph: (815) 674-0887		Jason Roach, PA-C
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-2036

Reviews and Comments


Physician Assistant Nurses in Peoria, IL

Ms. Courtney M Jaegle, PA
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Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606
Phone: 309-672-4670    Fax: 309-672-4669
Jacob Clark,
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Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
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Natalie Patty,
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Abigail Rose Sutton, PA-C
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Phone: 309-676-5546    Fax: 309-676-5045
Josie Cathryn Jepson, PA
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Practice Location: 1310 N Missouri Ave, Peoria, IL 61603
Phone: 309-308-3350    

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.