Dr Sydney Renee Roscoe, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in San Diego, California. Her current practice location is
200 W Arbor Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(800) 926-8273.
Dr Sydney Renee Roscoe is licensed to practice in California (license number 95027107) 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 1992448864.
Healthcare Provider's Profile
| Full Name | Dr Sydney Renee Roscoe |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 200 W Arbor Dr, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992448864
- Provider Enumeration Date: 04/18/2022
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810331147
- Enrollment ID: I20240214003920
Medical Identifiers
Medical identifiers for Dr Sydney Renee Roscoe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992448864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | 95221940 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 95027107 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95027107 (California) | 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 Sydney Renee Roscoe allows following entities to bill medicare on her behalf.
| Entity Name | Regents Of The University Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508968967
PECOS PAC ID: 3577476761
Enrollment ID: O20031203000756 |
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| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711 |
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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 Sydney Renee Roscoe 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 Sydney Renee Roscoe,
File 57326,
Los Angeles, CA 90074-0001
Ph: (858) 249-6748 | Dr Sydney Renee Roscoe,
200 W Arbor Dr,
San Diego, CA 92103-9000
Ph: (800) 926-8273 |
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