Jillian Marie Roush, PA-C is a medicare enrolled "Physician Assistant" in West Hazleton, Pennsylvania. Her current practice location is
6 Diana Ln, West Hazleton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 501-3760.
Jillian Marie Roush is licensed to practice in Pennsylvania (license number MA056492) 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 1124455266.
Provider's Profile
| Full Name | Jillian Marie Roush |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 6 Diana Ln, West Hazleton, Pennsylvania |
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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: 1124455266
- Provider Enumeration Date: 10/03/2013
- Last Update Date: 08/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 8628206810
- Enrollment ID: I20140115001036
Medical Identifiers
Medical identifiers for Jillian Marie Roush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124455266 | NPI | - | NPPES |
| 326497F6K | Other | PA | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | MA056492 (Pennsylvania) | Primary |
| 363A00000X | Physician Assistant | OA003152 (Pennsylvania) | Secondary |
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. Jillian Marie Roush 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 |
Jillian Marie Roush, PA-C 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Jillian Marie Roush, PA-C 6 Diana Ln, West Hazleton, PA 18202-1210 Ph: (570) 501-3760 |
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