Dr Patrick Thomas Roughneen, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Grapevine, Texas. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Wichita Falls Heart Clinic Pllc and his current practice location is
1600 W College St, Suite 555, Grapevine, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 552-1900.
Dr Patrick Thomas Roughneen is licensed to practice in Texas (license number J1480) 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 1205847936.
Physician's Profile
| Full Name | Dr Patrick Thomas Roughneen |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 42 Years |
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| Location | 1600 W College St, Grapevine, Texas |
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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 Patrick Thomas Roughneen graduated from medical school in 1982
NPI Data:
- NPI Number: 1205847936
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 03/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 9032177704
- Enrollment ID: I20041228000588
Medical Identifiers
Medical identifiers for Dr Patrick Thomas Roughneen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205847936 | NPI | - | NPPES |
| 0053MA | Other | TX | BLUE CROSS/BLUE SHIELDS |
| 171001401 | Medicaid | TX | |
| 171001405 | Medicaid | TX | |
| 171001404 | Medicaid | TX | |
| DE9002 | Other | TX | RAILROAD MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0129X | Surgery - Vascular Surgery | J1480 (Texas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | J1480 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wichita Falls Heart Clinic Pllc | 4688953219 | 3 |
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 Patrick Thomas Roughneen allows following entities to bill medicare on his behalf.
| Entity Name | Utmb Faculty Group Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942241146
PECOS PAC ID: 3375456734
Enrollment ID: O20031112000438 |
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| Entity Name | Wichita Falls Heart Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215486691
PECOS PAC ID: 4688953219
Enrollment ID: O20161122001146 |
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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 Patrick Thomas Roughneen 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 Patrick Thomas Roughneen, MD
1600 W College St, Suite 555,
Grapevine, TX 76051-3580
Ph: (817) 552-1900 | Dr Patrick Thomas Roughneen, MD
1600 W College St, Suite 555,
Grapevine, TX 76051-3580
Ph: (817) 552-1900 |
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