Carolyn Roloff, MD | |
615 N Michigan St 5th Fl, South Bend, IN 46601-1033 | |
(574) 647-7275 | |
(574) 647-3696 |
Full Name | Carolyn Roloff |
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Gender | Female |
Speciality | Hospitalist |
Location | 615 N Michigan St 5th Fl, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780003376 | NPI | - | NPPES |
300100223 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01094886A (Indiana) | Secondary |
208000000X | Pediatrics | 121324 (Alaska) | Secondary |
208M00000X | Hospitalist | 01094886A (Indiana) | Primary |
Entity Name | Pediatric Specialists Of Alaska Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114034956 PECOS PAC ID: 6103890421 Enrollment ID: O20040823001226 |
Entity Name | Providence Health & Services- Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20091029000679 |
Mailing Address | Practice Location Address |
---|---|
Carolyn Roloff, MD 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-6592 | Carolyn Roloff, MD 615 N Michigan St 5th Fl, South Bend, IN 46601-1033 Ph: (574) 647-7275 |
Dr. Matthew Darl Norton, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2102 E Inwood Rd, South Bend, IN 46614 Phone: 574-299-2400 Fax: 574-299-2410 | |
Dr. Michelle Aileen Thompson, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3500 Fax: 574-647-1094 | |
Pierre Andre Frantz Ovide, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696 | |
Dr. Sylvana Atallah, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 328 N Michigan St Ste F3, First Floor, South Bend, IN 46601 Phone: 262-527-7410 | |
Jena Ruth Kern, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094 | |
Thomas Deverne Bussineau, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094 |