Grover Cleavon Rollins, LPC is a medicare enrolled "Psychologist" provider in Mcallen, Texas. His current practice location is
2900 N J St Apt 206, Mcallen, Texas. You can reach out to his office (for appointments etc.) via phone at
(956) 655-7872.
Grover Cleavon Rollins is licensed to practice in Texas (license number 38840) 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 1568584381.
Healthcare Provider's Profile
| Full Name | Grover Cleavon Rollins |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 2900 N J St Apt 206, Mcallen, Texas |
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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: 1568584381
- Provider Enumeration Date: 04/04/2007
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436591963
- Enrollment ID: I20240529001656
Medical Identifiers
Medical identifiers for Grover Cleavon Rollins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568584381 | NPI | - | NPPES |
| 163689601 | Medicaid | TX | |
| 159360002 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 18335 (Texas) | Secondary |
| 103T00000X | Psychologist | 38840 (Texas) | 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. Grover Cleavon Rollins allows following entities to bill medicare on his behalf.
| Entity Name | Coastal Plains Community Mhmr |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962552109
PECOS PAC ID: 1557337490
Enrollment ID: O20040902000680 |
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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. Grover Cleavon Rollins 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 |
|---|
Grover Cleavon Rollins, LPC
Po Box 720879,
Mcallen, TX 78504-0879
Ph: (956) 655-7872 | Grover Cleavon Rollins, LPC
2900 N J St Apt 206,
Mcallen, TX 78501-1445
Ph: (956) 655-7872 |
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