Devon John Roach, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Holly, Michigan. His current practice location is
322 East St, Holly, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 891-3245.
Devon John Roach is licensed to practice in Michigan (license number 6801117389) 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 1285269746.
Healthcare Provider's Profile
Full Name | Devon John Roach |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 322 East St, Holly, Michigan |
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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: 1285269746
- Provider Enumeration Date: 03/05/2020
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254771330
- Enrollment ID: I20240507001260
Medical Identifiers
Medical identifiers for Devon John Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285269746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801117389 (Michigan) | 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. Devon John Roach allows following entities to bill medicare on his behalf.
Entity Name | Ascension Brighton Center For Recovery |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265527337 PECOS PAC ID: 2668466996 Enrollment ID: O20040412000189 |
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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. Devon John Roach 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 |
Devon John Roach, LMSW 322 East St, Holly, MI 48442-1739 Ph: (248) 891-3245 | Devon John Roach, LMSW 322 East St, Holly, MI 48442-1739 Ph: (248) 891-3245 |
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