Dr Richard Allen Roller, MD, PHD is a medicare enrolled "General Practice" physician in Enterprise, Alabama. His current practice location is
805 E Lee St, Suite C, Enterprise, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 348-8818.
Dr Richard Allen Roller is licensed to practice in Alabama (license number 29971) 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 1487610564.
Physician's Profile
Full Name | Dr Richard Allen Roller |
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Gender | Male |
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Speciality | General Practice |
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Location | 805 E Lee St, Enterprise, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487610564
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 11/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 0042467441
- Enrollment ID: I20120820000741
Medical Identifiers
Medical identifiers for Dr Richard Allen Roller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487610564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 29971 (Alabama) | Secondary |
208D00000X | General Practice | 29971 (Alabama) | Primary |
2083A0100X | Preventive Medicine - Aerospace Medicine | 29971 (Alabama) | Secondary |
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 Richard Allen Roller allows following entities to bill medicare on his behalf.
Entity Name | Paragon Contracting Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
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Entity Name | Andalusia Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437202009 PECOS PAC ID: 7315043007 Enrollment ID: O20070425000603 |
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Entity Name | Enterprise Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639491616 PECOS PAC ID: 1456488667 Enrollment ID: O20100420000715 |
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Entity Name | Southern Alabama Physicians, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467701490 PECOS PAC ID: 0345499562 Enrollment ID: O20121003000896 |
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Entity Name | Andalusia Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831479781 PECOS PAC ID: 0042481269 Enrollment ID: O20131223000408 |
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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 Richard Allen Roller 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 Richard Allen Roller, MD, PHD 805 E Lee St, Suite C, Enterprise, AL 36330-2368 Ph: (334) 348-8818 | Dr Richard Allen Roller, MD, PHD 805 E Lee St, Suite C, Enterprise, AL 36330-2368 Ph: (334) 348-8818 |
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