Roselyn Maryboy, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Montezuma Creek, Utah. Her current practice location is
East Highway 262, Montezuma Creek, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 651-3291.
Roselyn Maryboy is licensed to practice in Utah (license number 126038-3501) 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 1053324665.
Healthcare Provider's Profile
Full Name | Roselyn Maryboy |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | East Highway 262, Montezuma Creek, Utah |
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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: 1053324665
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698771079
- Enrollment ID: I20061006000341
Medical Identifiers
Medical identifiers for Roselyn Maryboy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053324665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 126038-3501 (Utah) | 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. Roselyn Maryboy allows following entities to bill medicare on her behalf.
Entity Name | Utah Navajo Health System Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811991151 PECOS PAC ID: 1658275649 Enrollment ID: O20031121000239 |
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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. Roselyn Maryboy 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 |
Roselyn Maryboy, LCSW Po Box 130, Montezuma Creek, UT 84534-0130 Ph: (435) 651-3291 | Roselyn Maryboy, LCSW East Highway 262, Montezuma Creek, UT 84534-0130 Ph: (435) 651-3291 |
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