Dr Angela Marie Rosselot, DO is a medicare enrolled "Family Medicine" physician in Belle Isle, Florida. Her current practice location is
2820 Nela Ave, Belle Isle, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 438-8656.
Dr Angela Marie Rosselot is licensed to practice in Florida (license number OS5093) 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 1457327876.
Physician's Profile
| Full Name | Dr Angela Marie Rosselot |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 2820 Nela Ave, Belle Isle, Florida |
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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: 1457327876
- Provider Enumeration Date: 02/25/2006
- Last Update Date: 04/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 4385942911
- Enrollment ID: I20160415000940
Medical Identifiers
Medical identifiers for Dr Angela Marie Rosselot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457327876 | NPI | - | NPPES |
| 0390020-00 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OS5093 (Florida) | 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 Angela Marie Rosselot allows following entities to bill medicare on her behalf.
| Entity Name | Citrus Ridge Medical Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356639017
PECOS PAC ID: 2365608452
Enrollment ID: O20120717000520 |
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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. Dr Angela Marie Rosselot 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 Angela Marie Rosselot, DO
2820 Nela Ave,
Belle Isle, FL 32809-6175
Ph: (407) 438-8656 | Dr Angela Marie Rosselot, DO
2820 Nela Ave,
Belle Isle, FL 32809-6175
Ph: (407) 438-8656 |
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