Dr John M Roach, MD - Medicare Pediatrics in Paducah, KY

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Dr John M Roach, MD is a medicare enrolled "Pediatrics" physician in Paducah, Kentucky. His current practice location is 242 Berger Rd, Paducah, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 366-0960.

Dr John M Roach is licensed to practice in Kentucky (license number 39216) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164425831.

Contact Information

Dr John M Roach, MD
242 Berger Rd,
Paducah, KY 42003-4522
(270) 366-0960
(271) 554-1108

Map and Direction




Physician's Profile

Full NameDr John M Roach
GenderMale
SpecialityPediatrics
Location242 Berger Rd, Paducah, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164425831
  • Provider Enumeration Date: 05/24/2005
  • Last Update Date: 10/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385602333
  • Enrollment ID: I20240412000910

Medical Identifiers

Medical identifiers for Dr John M Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164425831NPI-NPPES
64095565MedicaidKY
39216OtherKYKY STATE LICENSE
1427478700OtherKYNPI GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 39216 (Kentucky)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 John M Roach allows following entities to bill medicare on his behalf.
Entity NameAspirus Rhinelander & Tomahawk Hospitals & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706
Entity NameAspirus Stevens Point Hospital & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538112230
PECOS PAC ID: 1850358938
Enrollment ID: O20041210000558

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 M Roach 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 M Roach, MD
242 Berger Rd,
Paducah, KY 42003-4522

Ph: (270) 366-0960		Dr John M Roach, MD
242 Berger Rd,
Paducah, KY 42003-4522

Ph: (270) 366-0960

Reviews and Comments


Pediatrics Doctors in Paducah, KY

Dr. Robert Timothy Mabry, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Kentucky Ave, Paducah, KY 42003
Phone: 270-744-9600    Fax: 270-744-0834
Dr. Elizabeth Claire Mcgregor, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2605 Kentucky Ave, Doctor's Building #3, Paducah, KY 42003
Phone: 270-443-7534    
Dr. Rachel Lowdenback, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 548 Lone Oak Road, Paducah, KY 42003
Phone: 270-442-6161    Fax: 270-442-6294
Glen Chaney, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2605 Kentucky Ave, Paducah, KY 42003
Phone: 270-744-9600    
Caitlyn Cecil, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2670 New Holt Rd Ste C, Paducah, KY 42001
Phone: 270-575-1010    Fax: 270-575-1018
Kayla Mason, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2605 Kentucky Ave, Drs Bldg 3 Suite 501, Paducah, KY 42003
Phone: 270-744-9600    

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).

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