Mr Jared Stewart Roe, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Attalla, Alabama. His current practice location is
940b Gilbert Ferry Rd Se, Attalla, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 579-6011.
Mr Jared Stewart Roe is licensed to practice in Alabama (license number 2376C) 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 1114270998.
Healthcare Provider's Profile
Full Name | Mr Jared Stewart Roe |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 940b Gilbert Ferry Rd Se, Attalla, Alabama |
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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: 1114270998
- Provider Enumeration Date: 10/18/2012
- Last Update Date: 12/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416172481
- Enrollment ID: I20140707001704
Medical Identifiers
Medical identifiers for Mr Jared Stewart Roe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114270998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 7818 (Tennessee) | Secondary |
1041C0700X | Social Worker - Clinical | 2376C (Alabama) | 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. Mr Jared Stewart Roe allows following entities to bill medicare on his behalf.
Entity Name | River Region Psychiatry Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386891497 PECOS PAC ID: 1254491012 Enrollment ID: O20081124000448 |
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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. Mr Jared Stewart 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 |
Mr Jared Stewart Roe, LCSW 2160 Fountain Dr, Snellville, GA 30078-7022 Ph: (770) 985-6473 | Mr Jared Stewart Roe, LCSW 940b Gilbert Ferry Rd Se, Attalla, AL 35954-3338 Ph: (256) 579-6011 |
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