Rolkin Petit Homme, is a medicare enrolled "Internal Medicine - Critical Care Medicine" in West Palm Beach, Florida. His current practice location is
736 Dogwood Rd, West Palm Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(773) 977-6930.
Rolkin Petit Homme is licensed to practice in New Jersey (license number NJDATEMP-000486) 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 1851920508.
Provider's Profile
| Full Name | Rolkin Petit Homme |
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| Gender | Male |
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| Speciality | Internal Medicine - Critical Care Medicine |
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| Location | 736 Dogwood Rd, West Palm Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851920508
- Provider Enumeration Date: 04/05/2020
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870018229
- Enrollment ID: I20250417001684
Medical Identifiers
Medical identifiers for Rolkin Petit Homme such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851920508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11034560 (Florida) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | NJDATEMP-000486 (New Jersey) | Primary |
| 363A00000X | Physician Assistant | 10171 (Arizona) | Secondary |
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. Rolkin Petit Homme allows following entities to bill medicare on his behalf.
| Entity Name | Brookview Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871965855
PECOS PAC ID: 9537420450
Enrollment ID: O20180309000532 |
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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. Rolkin Petit Homme 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 |
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Rolkin Petit Homme,
5069 Okeechobee Blvd,
West Palm Beach, FL 33417-4533
Ph: (561) 667-4082 | Rolkin Petit Homme,
736 Dogwood Rd,
West Palm Beach, FL 33409-6139
Ph: (773) 977-6930 |
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