Justin T Roach, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Yates Center, Kansas. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southeast Kansas Mental Health Center and his current practice location is
204 S Main St, Yates Center, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 625-2746.
Justin T Roach is licensed to practice in Kansas (license number 53-78756-082) 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 1851950364.
Provider's Profile
| Full Name | Justin T Roach |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 204 S Main St, Yates Center, Kansas |
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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:
- Justin T Roach graduated from nursing school in 2019
NPI Data:
- NPI Number: 1851950364
- Provider Enumeration Date: 06/08/2019
- Last Update Date: 02/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153658364
- Enrollment ID: I20190812001178
Medical Identifiers
Medical identifiers for Justin T Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851950364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 53-78756-082 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Kansas Mental Health Center | 3870562879 | 38 |
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. Justin T Roach allows following entities to bill medicare on his behalf.
| Entity Name | Southeast Kansas Mental Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467414771
PECOS PAC ID: 3870562879
Enrollment ID: O20040927001008 |
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| Entity Name | Williams Medical Group Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346608809
PECOS PAC ID: 3375832157
Enrollment ID: O20160518000391 |
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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. Justin T 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 Address | Practice Location Address |
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Justin T Roach, APRN, NP-C
3015 N Michigan St,
Pittsburg, KS 66762-2546
Ph: (620) 240-5607 | Justin T Roach, APRN, NP-C
204 S Main St,
Yates Center, KS 66783-1444
Ph: (620) 625-2746 |
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