Roman Marcus Carrasco, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Orlando, Florida. His current practice location is
265 E Rollins St # 6, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 821-3584.
Roman Marcus Carrasco is licensed to practice in Florida (license number PY10726) 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 1083923718.
Healthcare Provider's Profile
Full Name | Roman Marcus Carrasco |
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Gender | Male |
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Speciality | Clinical Neuropsychologist |
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Location | 265 E Rollins St # 6, Orlando, Florida |
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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: 1083923718
- Provider Enumeration Date: 09/29/2010
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648690362
- Enrollment ID: I20201020000210
Medical Identifiers
Medical identifiers for Roman Marcus Carrasco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083923718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY10726 (Florida) | Secondary |
103G00000X | Clinical Neuropsychologist | PY10726 (Florida) | 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. Roman Marcus Carrasco allows following entities to bill medicare on his behalf.
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
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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. Roman Marcus Carrasco 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 |
Roman Marcus Carrasco, PSYD 265 E Rollins St # 6, Orlando, FL 32804-5502 Ph: (407) 821-3584 | Roman Marcus Carrasco, PSYD 265 E Rollins St # 6, Orlando, FL 32804-5502 Ph: (407) 821-3584 |
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