Ms Roxanne D Dudley, RN, PMHNP-BC, LPC - Medicare Counselor in Jacksonville, TX

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Ms Roxanne D Dudley, RN, PMHNP-BC, LPC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Jacksonville, Texas. Her current practice location is 1011 College Ave, Jacksonville, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 589-9000.

Ms Roxanne D Dudley is licensed to practice in Texas (license number AP134786) 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 1922244904.

Contact Information

Ms Roxanne D Dudley, RN, PMHNP-BC, LPC
1011 College Ave,
Jacksonville, TX 75766-3307
(903) 589-9000
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Roxanne D Dudley
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1011 College Ave, Jacksonville, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922244904
  • Provider Enumeration Date: 12/23/2008
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092072470
  • Enrollment ID: I20171121001182

Medical Identifiers

Medical identifiers for Ms Roxanne D Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922244904NPI-NPPES
1268237-08MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 62107 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP134786 (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. Ms Roxanne D Dudley allows following entities to bill medicare on her behalf.
Entity NameAustin Travis County Mental Health And Mental Retardation Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750337259
PECOS PAC ID: 9133016306
Enrollment ID: O20040305000036
Entity NameAnderson Cherokee Community Enrichment Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710015201
PECOS PAC ID: 4284718107
Enrollment ID: O20080229000537
Entity NameFrank S Floca Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770878043
PECOS PAC ID: 3779754163
Enrollment ID: O20110915000032

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. Ms Roxanne D Dudley 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 AddressPractice Location Address
Ms Roxanne D Dudley, RN, PMHNP-BC, LPC
1011 College Ave,
Jacksonville, TX 75766-3307

Ph: (512) 573-8026		Ms Roxanne D Dudley, RN, PMHNP-BC, LPC
1011 College Ave,
Jacksonville, TX 75766-3307

Ph: (903) 589-9000

Reviews and Comments


Nurse Practitioner in Jacksonville, TX


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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