Katherine Roman, NURSE PRACTICIONER is a
Nurse Practitioner - Obstetrics & Gynecology based in Mecca, California. Katherine Roman is licensed to practice in California (license number 6013) and her current practice location is
91275 66th Street, 500, Mecca, California. She can be reached at her office (for appointments etc.) via phone at
(760) 396-1249.
NPI number for Katherine Roman is 1114108578 and her current mailing address is 91275 66th Ave, 500, Mecca, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114108578.
Provider's Profile
| Full Name | Katherine Roman |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Obstetrics & Gynecology |
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| Location | 91275 66th Street, Mecca, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114108578
- Provider Enumeration Date: 11/14/2007
- Last Update Date: 04/03/2014
Medical Identifiers
Medical identifiers for Katherine Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114108578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 6013 (California) | Primary |
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. Katherine Roman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Katherine Roman, NURSE PRACTICIONER 91275 66th Ave, 500, Mecca, CA 92254-5564 Ph: (760) 396-1249 | Katherine Roman, NURSE PRACTICIONER 91275 66th Street, 500, Mecca, CA 92254 Ph: (760) 396-1249 |
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