Dr Rosolena Visco Conroy, MD is a medicare enrolled "Pediatrics" provider in Concord, North Carolina. Her current practice location is
280 Concord Pkwy S Ste 100, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(980) 209-6328.
Dr Rosolena Visco Conroy is licensed to practice in North Carolina (license number 9700041) 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 1912034612.
Healthcare Provider's Profile
Full Name | Dr Rosolena Visco Conroy |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 280 Concord Pkwy S Ste 100, Concord, North Carolina |
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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: 1912034612
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042578304
- Enrollment ID: I20180324000029
Medical Identifiers
Medical identifiers for Dr Rosolena Visco Conroy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912034612 | NPI | - | NPPES |
5950393 | Other | NC | CIGNA HEALTHCARE |
1019E | Other | NC | BCBS |
891019E | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | A16413 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
208000000X | Pediatrics | 9700041 (North Carolina) | 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 Rosolena Visco Conroy allows following entities to bill medicare on her behalf.
Entity Name | Caromont Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
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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 Rosolena Visco Conroy 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 Rosolena Visco Conroy, MD 170 Davidson Hwy, Concord, NC 28027-4245 Ph: (980) 209-6328 | Dr Rosolena Visco Conroy, MD 280 Concord Pkwy S Ste 100, Concord, NC 28027-2705 Ph: (980) 209-6328 |
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