Dr Jerome Joseph Roche Jr, MD is a
Internal Medicine physician based in Fort Huachuca, Arizona. Dr Jerome Joseph Roche Jr is licensed to practice in Ohio (license number 52719) and his current practice location is 2240 Winrow Rd, Fort Huachuca, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 533-9033.
NPI number for Dr Jerome Joseph Roche Jr is 1063445955 and his current mailing address is 2240 Winrow Rd, Fort Huachuca, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063445955.
Physician's Profile
| Full Name | Dr Jerome Joseph Roche Jr |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 2240 Winrow Rd, Fort Huachuca, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063445955
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 04/22/2021
Medical Identifiers
Medical identifiers for Dr Jerome Joseph Roche Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063445955 | NPI | - | NPPES |
| 52719 | Other | OH | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 50214 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 52719 (Ohio) | Primary |
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 Jerome Joseph Roche Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jerome Joseph Roche Jr, MD
2240 Winrow Rd,
Fort Huachuca, AZ 85613-5080
Ph: (520) 533-9033 | Dr Jerome Joseph Roche Jr, MD
2240 Winrow Rd,
Fort Huachuca, AZ 85613-5080
Ph: (520) 533-9033 |
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