Dr Michael Rollock, PHD is a medicare enrolled "Psychologist - Clinical" physician in Augusta, Georgia. He went to University Of Massachusetts Medical School and graduated in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Augusta University and his current practice location is
997 Saint Sebastian Way, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 721-6719.
Dr Michael Rollock is licensed to practice in Georgia (license number PSY003572) 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 1629303870.
Physician's Profile
Full Name | Dr Michael Rollock |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 14 Years |
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Location | 997 Saint Sebastian Way, Augusta, Georgia |
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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. |
Medical Education and Training:
- Dr Michael Rollock attended and graduated from University Of Massachusetts Medical School in 2010
NPI Data:
- NPI Number: 1629303870
- Provider Enumeration Date: 10/06/2009
- Last Update Date: 04/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628209632
- Enrollment ID: I20140314001051
Medical Identifiers
Medical identifiers for Dr Michael Rollock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629303870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LA0401X | Anesthesiology - Addiction Medicine | PSY003572 (Georgia) | Secondary |
103TC0700X | Psychologist - Clinical | PSY003572 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Augusta University | 0840188090 | 18 |
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 Michael Rollock allows following entities to bill medicare on his behalf.
Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
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Entity Name | Augusta University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760559124 PECOS PAC ID: 0840188090 Enrollment ID: O20040309000453 |
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Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
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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 Michael Rollock 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 Michael Rollock, PHD 997 Saint Sebastian Way, Augusta, GA 30912-2613 Ph: (706) 721-6719 | Dr Michael Rollock, PHD 997 Saint Sebastian Way, Augusta, GA 30912-2613 Ph: (706) 721-6719 |
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