Erich A Roush, PSYD is a medicare enrolled "Psychologist" provider in Greenfield, Wisconsin. He graduated from healthcare school in 2017 and has 7 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice The Medical College Of Wisconsin Inc and his current practice location is
4455 S 108th St, Greenfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 427-5310.
Erich A Roush is licensed to practice in Wisconsin (license number 3583-057) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407236300.
Healthcare Provider's Profile
| Full Name | Erich A Roush |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 7 Years |
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| Location | 4455 S 108th St, Greenfield, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Erich A Roush graduated from medical school in 2017
NPI Data:
- NPI Number: 1407236300
- Provider Enumeration Date: 06/04/2015
- Last Update Date: 06/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527303338
- Enrollment ID: I20181226001798
Medical Identifiers
Medical identifiers for Erich A Roush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407236300 | NPI | - | NPPES |
| 1407236300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 2517-226 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 3583-057 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1736 |
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. Erich A Roush allows following entities to bill medicare on his behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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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. Erich A Roush 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 |
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Erich A Roush, PSYD
4455 S 108th St,
Greenfield, WI 53228-2504
Ph: (414) 427-5310 | Erich A Roush, PSYD
4455 S 108th St,
Greenfield, WI 53228-2504
Ph: (414) 427-5310 |
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