Dr David Bernard Roy, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Petal, Mississippi. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice David B Roy Do Pa and his current practice location is
201 S Main St, Petal, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 336-5626.
Dr David Bernard Roy is licensed to practice in Mississippi (license number 21178) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801097019.
Physician's Profile
| Full Name | Dr David Bernard Roy |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 21 Years |
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| Location | 201 S Main St, Petal, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David Bernard Roy graduated from medical school in 2003
NPI Data:
- NPI Number: 1801097019
- Provider Enumeration Date: 05/29/2007
- Last Update Date: 04/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 8123186418
- Enrollment ID: I20101102000317
Medical Identifiers
Medical identifiers for Dr David Bernard Roy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801097019 | NPI | - | NPPES |
| 09652756 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 4312 (Arizona) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 4312 (Arizona) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 21178 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| David B Roy Do Pa | 2365767118 | 12 |
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 David Bernard Roy allows following entities to bill medicare on his behalf.
| Entity Name | David B Roy Do Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194124834
PECOS PAC ID: 2365767118
Enrollment ID: O20150219000500 |
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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 David Bernard Roy 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 |
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Dr David Bernard Roy, DO
201 S Main St,
Petal, MS 39465-2362
Ph: (601) 336-5626 | Dr David Bernard Roy, DO
201 S Main St,
Petal, MS 39465-2362
Ph: (601) 336-5626 |
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