Dr Patricia Anne Roe, PSYD, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Phoenix, Arizona. Her current practice location is
4212 N 16th Street, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 263-1511.
Dr Patricia Anne Roe is licensed to practice in Kansas (license number 74515) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902999436.
Healthcare Provider's Profile
| Full Name | Dr Patricia Anne Roe |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 4212 N 16th Street, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902999436
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749317162
- Enrollment ID: I20211008000162
Medical Identifiers
Medical identifiers for Dr Patricia Anne Roe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902999436 | NPI | - | NPPES |
| AZ0620160 | Other | AZ | BCBS |
| 571522 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 3315 (Arizona) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 74515 (Kansas) | 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. Dr Patricia Anne Roe allows following entities to bill medicare on her behalf.
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
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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. Dr Patricia Anne Roe 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 |
Dr Patricia Anne Roe, PSYD, ARNP Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1511 | Dr Patricia Anne Roe, PSYD, ARNP 4212 N 16th Street, Phoenix, AZ 85016 Ph: (602) 263-1511 |
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