Dr John L Roussalis, MDPC - Medicare Plastic And Reconstructive Surgery in Newark, DE

Dr John L Roussalis, MDPC is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Newark, Delaware. He went to Creighton University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Panzer Dermatology Associates and his current practice location is 537 Stanton Christiana Rd, Newark, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 633-7550.

Dr John L Roussalis is licensed to practice in Pennsylvania (license number MD426938) 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 1235252669.

Contact Information

Dr John L Roussalis, MDPC
537 Stanton Christiana Rd,
Newark, DE 19713-2146
(302) 633-7550
(302) 633-7556

Map and Direction




Physician's Profile

Full NameDr John L Roussalis
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience24 Years
Location537 Stanton Christiana Rd, Newark, Delaware
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John L Roussalis attended and graduated from Creighton University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1235252669
  • Provider Enumeration Date: 04/09/2007
  • Last Update Date: 06/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0648379065
  • Enrollment ID: I20170807000644

Medical Identifiers

Medical identifiers for Dr John L Roussalis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235252669NPI-NPPES
127068100MedicaidWY
W21591OtherWYPTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery MD426938 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christiana HospitalNewark, DEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Panzer Dermatology Associates610372474520

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 John L Roussalis allows following entities to bill medicare on his behalf.
Entity NamePanzer Dermatology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740201995
PECOS PAC ID: 6103724745
Enrollment ID: O20031222000106

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 John L Roussalis 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 AddressPractice Location Address
Dr John L Roussalis, MDPC
537 Stanton Christiana Rd,
Newark, DE 19713-2146

Ph: (302) 633-7550
Dr John L Roussalis, MDPC
537 Stanton Christiana Rd,
Newark, DE 19713-2146

Ph: (302) 633-7550

Reviews and Comments


Surgery Doctors in Newark, DE

Dr. Leon Kushnir, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4701 Ogletown Stanton Rd Ste 4200, Newark, DE 19713
Phone: 302-658-7533    Fax: 302-737-7701
Emily Penman, M.D,
Surgery
Medicare: Medicare Enrolled
Practice Location: 4701 Ogletown Stanton Rd, Suite 1500, Newark, DE 19713
Phone: 302-623-4343    Fax: 302-623-4203
Mikael Fadoul, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4755 Ogletown Stanton Rd Ste 1e20, Newark, DE 19718
Phone: 302-733-5700    Fax: 302-733-5775
Dr. Dawn Johnson Leonard, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4701 Ogletown Stanton Rd Ste 1500, Newark, DE 19713
Phone: 302-623-4343    Fax: 302-623-4203
Luis Cardenas, Do, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4735 Ogletown Stanton Road, Suite 3301, Newark, DE 19713
Phone: 302-623-4370    Fax: 302-623-4375
Dr. Leonard Mason, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713
Phone: 302-623-4370    
Kalpana Suresh, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4755 Ogletown-stanton Rd., Newark, DE 19718
Phone: 302-733-4503    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.