Randall Alan Roark, NP - Medicare Nurse Practitioner in Imperial Beach, CA

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Randall Alan Roark, NP is a medicare enrolled "Nurse Practitioner - Family" in Imperial Beach, California. He went to University Of California, San Francisco School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Dap Health Inc and his current practice location is 949 Palm Ave, Imperial Beach, California. You can reach out to his office (for appointments etc.) via phone at (619) 429-3733.

Randall Alan Roark is licensed to practice in California (license number 15996) 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 1447312178.

Contact Information

Randall Alan Roark, NP
949 Palm Ave,
Imperial Beach, CA 91932
(619) 429-3733
(619) 628-5550

Map and Direction




Provider's Profile

Full NameRandall Alan Roark
GenderMale
SpecialityNurse Practitioner
Experience19 Years
Location949 Palm Ave, Imperial Beach, California
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:
  • Randall Alan Roark attended and graduated from University Of California, San Francisco School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1447312178
  • Provider Enumeration Date: 12/16/2006
  • Last Update Date: 11/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8820192842
  • Enrollment ID: I20160128002527

Medical Identifiers

Medical identifiers for Randall Alan Roark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447312178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 568148 (California)Secondary
363LF0000XNurse Practitioner - Family 15996 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dap Health Inc600298952215

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. Randall Alan Roark allows following entities to bill medicare on his behalf.
Entity NameMultnomah County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609914787
PECOS PAC ID: 6608771787
Enrollment ID: O20031203000025

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. Randall Alan Roark 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
Randall Alan Roark, NP
Po Box 459,
Imperial Beach, CA 91933-0459

Ph: (619) 429-3733		Randall Alan Roark, NP
949 Palm Ave,
Imperial Beach, CA 91932

Ph: (619) 429-3733

Reviews and Comments


Nurse Practitioner Nurses in Imperial Beach, CA

Chinyere Esther Opara, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 949 Palm Ave, Imperial Beach, CA 91932
Phone: 619-429-3733    
Paris Kantas, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 705 Palm Ave, Imperial Beach, CA 91932
Phone: 619-424-5106    
Ms. Stephanie Cunningham, DNP, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 949 Palm Ave, Imperial Beach, CA 91932
Phone: 619-429-3733    
Michelle Wilcox, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 705 Palm Ave, Imperial Beach, CA 91932
Phone: 619-423-3774    Fax: 619-423-3775
Heather Ann Roberts Calzada,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 949 Palm Ave, Imperial Beach, CA 91932
Phone: 619-429-3733    
Lisa George,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 705 Palm Ave, Imperial Beach, CA 91932
Phone: 619-424-5106    Fax: 619-424-3648

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.