Dr Kenneth Sherman Roll, DDS in Kingston, NY

Dr Kenneth Sherman Roll, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Kingston, New York. His current practice location is 130 N Front St, Suite #8, Kingston, New York. You can reach out to his office (for appointments etc.) via phone at (845) 338-8812.

Dr Kenneth Sherman Roll is licensed to practice in New York (license number 033037) 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 1912949934.

Contact Information

	Dr Kenneth Sherman Roll, DDS
	130 N Front St, Suite #8, Kingston, NY 12401-3741
	(845) 338-8812
	(845) 338-9086

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Sherman Roll
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	130 N Front St, Kingston, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912949934
Provider Enumeration Date: 06/12/2006
Last Update Date: 06/09/2010

Medicare PECOS Information:

PECOS PAC ID: 9032307939
Enrollment ID: I20220907000323

Medical Identifiers

Medical identifiers for Dr Kenneth Sherman Roll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912949934	NPI	-	NPPES
00636728	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	033037 (New York)	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 Kenneth Sherman Roll allows following entities to bill medicare on his behalf.

Entity Name	Christiana Care Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194073411 PECOS PAC ID: 9739097569 Enrollment ID: O20121129000217

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 Kenneth Sherman Roll 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 Kenneth Sherman Roll, DDS 130 N Front St, Suite #8, Kingston, NY 12401-3741 Ph: (845) 338-8812	Dr Kenneth Sherman Roll, DDS 130 N Front St, Suite #8, Kingston, NY 12401-3741 Ph: (845) 338-8812

Reviews and Comments

Dentist in Kingston, NY

Dr. Nahla Elashker, DDS Dentist Medicare: Medicare Enrolled Practice Location: 138 Pine St, Pine Street Dental, Kingston, NY 12401 Phone: 845-338-6900 Fax: 845-338-6013
Dr. Joseph C. Erena, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 130 N Front St, Kingston, NY 12401 Phone: 845-339-4702 Fax: 845-339-4703
Dr. Paris Perry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2821 Route 209, Kingston, NY 12401 Phone: 845-339-6868
Dr. Kirk Jagdeo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1159 Ulster Ave, Kingston, NY 12401 Phone: 845-240-7941
Dr. Stephen E Fishman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 Albany Ave, Kingston, NY 12401 Phone: 845-338-3375 Fax: 845-331-1206
Dr. James Thomas Shields, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 40 Hurley Ave Suite 14, Kingston, NY 12401 Phone: 845-331-2269 Fax: 845-331-7233
Dr. Samuel Pai, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 40 Hurley Ave, Suite 6, Kingston, NY 12401 Phone: 845-331-7775 Fax: 845-331-9228

Dr Kenneth Sherman Roll, DDS - Medicare Dentist in Kingston, NY