Carly Roark, MD in Conway, AR - Medicare Pediatrics

Carly Roark, MD is a medicare enrolled "Pediatrics" physician in Conway, Arkansas. Her current practice location is 625 United Dr Ste 360, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 358-6892.

Carly Roark is licensed to practice in Arkansas (license number E-13303) 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 1316478845.

Contact Information

	Carly Roark, MD
	625 United Dr Ste 360, Conway, AR 72032-7831
	(501) 358-6892
	Not Available

Map and Direction

Physician's Profile

Full Name	Carly Roark
Gender	Female
Speciality	Pediatrics
Location	625 United Dr Ste 360, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316478845
Provider Enumeration Date: 03/26/2017
Last Update Date: 06/13/2020

Medicare PECOS Information:

PECOS PAC ID: 2860760915
Enrollment ID: I20200710000292

Medical Identifiers

Medical identifiers for Carly Roark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316478845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E-13303 (Arkansas)	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. Carly Roark allows following entities to bill medicare on her behalf.

Entity Name	Arkansas Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700311222 PECOS PAC ID: 7911802079 Enrollment ID: O20171017003695

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. Carly Roark 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
Carly Roark, MD 625 United Dr Ste 360, Conway, AR 72032-7831 Ph: (501) 358-6892	Carly Roark, MD 625 United Dr Ste 360, Conway, AR 72032-7831 Ph: (501) 358-6892

Reviews and Comments

Pediatrics Doctors in Conway, AR

Philip H Hopp, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2710 College Ave, Conway, AR 72034 Phone: 501-329-1800 Fax: 501-329-2507
Dr. Ryan Michael Southard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 625 United Dr Ste 410, Conway, AR 72032 Phone: 501-358-6892 Fax: 501-358-6894
Lisa J. Martin, APN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2505 College Ave, Conway, AR 72034 Phone: 501-327-6000 Fax: 501-450-7559
Sherrye Denise Craig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Fountain Drive, Conway, AR 72034 Phone: 501-328-0055 Fax: 501-328-2194
Trent Elliott Adams, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2505 College Ave, Conway, AR 72034 Phone: 501-327-6000 Fax: 601-918-2086
Jeffrey Alan Craig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Fountain Drive, Conway, AR 72034 Phone: 501-328-0055 Fax: 501-328-2194
Terence L Champlin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 955 Carolyn Lane, Conway, AR 72034 Phone: 501-327-2444 Fax: 501-327-2443

Carly Roark, MD - Medicare Pediatrics in Conway, AR