Mr Brian Roeder, PA-C - Medicare Physician Assistant in Glen Burnie, MD

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Mr Brian Roeder, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Glen Burnie, Maryland. He graduated from nursing school in 1983 and has 43 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Tidalhealth Specialty Care Llc and his current practice location is 301 Hospital Dr, Suite 803, Glen Burnie, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 553-8160.

Mr Brian Roeder is licensed to practice in Maryland (license number C00624) 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 1023034170.

Contact Information

Mr Brian Roeder, PA-C
301 Hospital Dr, Suite 803,
Glen Burnie, MD 21061-5803
(410) 553-8160
(410) 553-8159

Map and Direction




Provider's Profile

Full NameMr Brian Roeder
GenderMale
SpecialityPhysician Assistant
Experience43 Years
Location301 Hospital Dr, Glen Burnie, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Brian Roeder graduated from nursing school in 1983
  NPI Data:
  • NPI Number: 1023034170
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 11/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9638183452
  • Enrollment ID: I20060201000326

Medical Identifiers

Medical identifiers for Mr Brian Roeder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023034170NPI-NPPES
236285OtherMDKAISER PERM
75551OtherMDAMERIGROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical C00624 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tidalhealth Peninsula Regional, IncSalisbury, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tidalhealth Specialty Care Llc7113340845375

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. Mr Brian Roeder allows following entities to bill medicare on his behalf.
Entity NameUniversity of Maryland Community Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477530624
PECOS PAC ID: 3678472214
Enrollment ID: O20040102000687
Entity NameTidalhealth Specialty Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619504735
PECOS PAC ID: 7113340845
Enrollment ID: O20200714000286

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. Mr Brian Roeder 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
Mr Brian Roeder, PA-C
301 Hospital Dr, Suite 803,
Glen Burnie, MD 21061-5803

Ph: (410) 553-8160		Mr Brian Roeder, PA-C
301 Hospital Dr, Suite 803,
Glen Burnie, MD 21061-5803

Ph: (410) 553-8160

Reviews and Comments


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Rebekah Chen, PA-C
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Stefanie R Coles, PA-C
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Sylvia Brandenberg, PA-C
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Phone: 410-787-8315    Fax: 410-787-8316

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.