Mr Eric G Roman, NP in Evanston, WY - Medicare Clinical Nurse Specialist

Mr Eric G Roman, NP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Evanston, Wyoming. His current practice location is 831 Highway 150 S, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 789-3464.

Mr Eric G Roman is licensed to practice in Wyoming (license number 25318.1148) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700157948.

Contact Information

	Mr Eric G Roman, NP
	831 Highway 150 S, Evanston, WY 82930-5340
	(307) 789-3464
	(307) 789-7373

Map and Direction

Provider's Profile

Full Name	Mr Eric G Roman
Gender	Male
Speciality	Clinical Nurse Specialist - Psychiatric/mental Health
Location	831 Highway 150 S, Evanston, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700157948
Provider Enumeration Date: 01/19/2012
Last Update Date: 03/13/2013

Medicare PECOS Information:

PECOS PAC ID: 4385804863
Enrollment ID: I20120320000659

Medical Identifiers

Medical identifiers for Mr Eric G Roman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700157948	NPI	-	NPPES
25318.1148	Other	WY	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SP0808X	Clinical Nurse Specialist - Psychiatric/mental Health	25318.1148 (Wyoming)	Primary

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 Eric G Roman allows following entities to bill medicare on his behalf.

Entity Name	State Of Wyoming
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316011562 PECOS PAC ID: 4587552583 Enrollment ID: O20040728001439

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 Eric G Roman 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
Mr Eric G Roman, NP 831 Highway 150 S, P.o. Box 177, Evanston, WY 82930-5340 Ph: (307) 789-3464	Mr Eric G Roman, NP 831 Highway 150 S, Evanston, WY 82930-5340 Ph: (307) 789-3464

Reviews and Comments

Clinical Nurse Specialist Nurses in Evanston, WY

James Patrick Fleenor, ANP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373
Tamara Sue Bach, FNP-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 195 Feather Way Ste 100, Evanston, WY 82930 Phone: 307-200-9200 Fax: 307-200-4808
Marisha Lee Vanvleet, APRN-CNP, PMHNP-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 724 Front St Ste 404, Evanston, WY 82930 Phone: 307-288-2328 Fax: 307-448-4606

Mr Eric G Roman, NP - Medicare Clinical Nurse Specialist in Evanston, WY