Dr Bianca Roe, OTD, OTR/L, RDN, CLC is a
Occupational Therapist - Pediatrics based in Chicago, Illinois. Dr Bianca Roe is licensed to practice in Illinois (license number 056013712) and her current practice location is
3709 N Kedzie Ave, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 377-5492.
NPI number for Dr Bianca Roe is 1639553142 and her current mailing address is 520 S State St Apt 1502, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639553142.
Healthcare Provider's Profile
Full Name | Dr Bianca Roe |
---|
Gender | Female |
---|
Speciality | Occupational Therapist - Pediatrics |
---|
Location | 3709 N Kedzie Ave, Chicago, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639553142
- Provider Enumeration Date: 07/14/2015
- Last Update Date: 10/09/2024
Medical Identifiers
Medical identifiers for Dr Bianca Roe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639553142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164.008119 (Illinois) | Secondary |
174N00000X | Lactation Consultant, Non-rn | 332074 (* (Not Available)) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | 056013712 (Illinois) | Primary |
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 Bianca Roe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Bianca Roe, OTD, OTR/L, RDN, CLC 520 S State St Apt 1502, Chicago, IL 60605-1663 Ph: (559) 917-5485 | Dr Bianca Roe, OTD, OTR/L, RDN, CLC 3709 N Kedzie Ave, Chicago, IL 60618-4503 Ph: (773) 377-5492 |
Reviews and Comments