Myron Roddenberry, PA - Medicare Physician Assistant in Greensboro, NC

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Myron Roddenberry, PA is a medicare enrolled "Physician Assistant" in Greensboro, North Carolina. He went to Wake Forest University School Of Medicine and graduated in 1989 and has 37 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice The Moses H Cone Memorial Hospital Operating Corporation and his current practice location is 301 E Wendover Ave Ste 411, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 832-3200.

Myron Roddenberry is licensed to practice in North Carolina (license number 101195) 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 1346245040.

Contact Information

Myron Roddenberry, PA
301 E Wendover Ave Ste 411,
Greensboro, NC 27401-1211
(336) 832-3200
Not Available

Map and Direction




Provider's Profile

Full NameMyron Roddenberry
GenderMale
SpecialityPhysician Assistant
Experience37 Years
Location301 E Wendover Ave Ste 411, Greensboro, North Carolina
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:
  • Myron Roddenberry attended and graduated from Wake Forest University School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1346245040
  • Provider Enumeration Date: 06/17/2005
  • Last Update Date: 08/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860396918
  • Enrollment ID: I20031121000023

Medical Identifiers

Medical identifiers for Myron Roddenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346245040NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 101195 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cone HealthGreensboro, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Moses H Cone Memorial Hospital Operating Corporation6204744600724

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. Myron Roddenberry allows following entities to bill medicare on his behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Entity NameThe Charlotte-mecklenburg Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605
Entity NameThe Moses H Cone Memorial Hospital Operating Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013265909
PECOS PAC ID: 6204744600
Enrollment ID: O20121003000518

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. Myron Roddenberry 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
Myron Roddenberry, PA
Po Box 19305,
Charlotte, NC 28219-9305

Ph: Not Available		Myron Roddenberry, PA
301 E Wendover Ave Ste 411,
Greensboro, NC 27401-1211

Ph: (336) 832-3200

Reviews and Comments


Physician Assistant Nurses in Greensboro, NC

Ms. Heather Joy Laisure, PA-C
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Phone: 336-852-1915    Fax: 336-294-3544
Sara Heinz, PA-C
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Practice Location: 520 N Elam Ave, Greensboro, NC 27403
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Collin Fisher Hinnant, PA-C
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Phone: 336-207-7005    
Emma Maureen Collins, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 2105 Braxton Ln, Suite 101, Greensboro, NC 27408
Phone: 336-333-6306    Fax: 336-333-6309
Irene Thomas Thayil, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 501 N Elam Ave, Greensboro, NC 27403
Phone: 336-832-1100    
Taylor Mackenzie Dale, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1313 Carolina St Ste 101, Greensboro, NC 27401
Phone: 336-275-0927    
Michael Carnaghi, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1915 Lendew St, Greensboro, NC 27408
Phone: 336-275-3325    Fax: 336-275-5346

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.