Carol Roark, MD is a medicare enrolled "Pediatrics" physician in Newport, Kentucky. Her current practice location is
215 E 11th St, Newport, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 655-6100.
Carol Roark is licensed to practice in Kentucky (license number 22479) 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 1669471058.
Physician's Profile
| Full Name | Carol Roark |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 215 E 11th St, Newport, Kentucky |
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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: 1669471058
- Provider Enumeration Date: 07/18/2005
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688802689
- Enrollment ID: I20140121001724
Medical Identifiers
Medical identifiers for Carol Roark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669471058 | NPI | - | NPPES |
| 64224793 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 22479 (Kentucky) | 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. Carol Roark allows following entities to bill medicare on her behalf.
| Entity Name | Healthpoint Family Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508889742
PECOS PAC ID: 9638089642
Enrollment ID: O20040708000655 |
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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. Carol 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 |
|---|
Carol Roark, MD
215 E 11th St,
Newport, KY 41071-2203
Ph: (859) 655-6100 | Carol Roark, MD
215 E 11th St,
Newport, KY 41071-2203
Ph: (859) 655-6100 |
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