Todd Marshall Roark, NP in Warren, MI - Medicare Nurse Practitioner

Todd Marshall Roark, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Warren, Michigan. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Henry Ford Medical Group and his current practice location is 11800 E 12 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 573-5402.

Todd Marshall Roark is licensed to practice in Michigan (license number 4704229946) 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 1972773158.

Contact Information

	Todd Marshall Roark, NP
	11800 E 12 Mile Rd, Warren, MI 48093-3472
	(586) 573-5402
	(586) 573-5580

Map and Direction

Provider's Profile

Full Name	Todd Marshall Roark
Gender	Male
Speciality	Nurse Practitioner
Experience	20 Years
Location	11800 E 12 Mile Rd, Warren, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Todd Marshall Roark graduated from nursing school in 2004

NPI Data:

NPI Number: 1972773158
Provider Enumeration Date: 03/04/2008
Last Update Date: 02/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2567523236
Enrollment ID: I20081212000707

Medical Identifiers

Medical identifiers for Todd Marshall Roark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972773158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704229946 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford West Bloomfield Hospital	West bloomfield, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2095

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. Todd Marshall Roark allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

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. Todd Marshall 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 Address	Practice Location Address
Todd Marshall Roark, NP 333 E Maplehurst St, Ferndale, MI 48220-1374 Ph: (586) 573-5402	Todd Marshall Roark, NP 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (586) 573-5402

Reviews and Comments

Nurse Practitioner Nurses in Warren, MI

Lauren Koenig, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000
Li Song, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29245 Ryan Rd Ste 300, Warren, MI 48092 Phone: 586-578-0222
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400
Randon Carl Jenkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262

Todd Marshall Roark, NP - Medicare Nurse Practitioner in Warren, MI