Dr Roger Lew Hiatt Jr, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in West Memphis, Arkansas. His current practice location is
600 N 7th St, West Memphis, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 394-7100.
Dr Roger Lew Hiatt Jr is licensed to practice in Arkansas (license number N-8381) 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 1417082710.
Physician's Profile
| Full Name | Dr Roger Lew Hiatt Jr |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 600 N 7th St, West Memphis, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417082710
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 12/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850710542
- Enrollment ID: I20200930000156
Medical Identifiers
Medical identifiers for Dr Roger Lew Hiatt Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417082710 | NPI | - | NPPES |
| 130272001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | N-8381 (Arkansas) | 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 Roger Lew Hiatt Jr allows following entities to bill medicare on his behalf.
| Entity Name | Centers For Youth And Families Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174617526
PECOS PAC ID: 4486996279
Enrollment ID: O20190426000876 |
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| Entity Name | Woodridge Of West Memphis, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134521685
PECOS PAC ID: 3072830736
Enrollment ID: O20200930000030 |
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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 Roger Lew Hiatt Jr 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 Roger Lew Hiatt Jr, MD
10047 Bushrod Cv,
Collierville, TN 38017-9188
Ph: (801) 200-5050 | Dr Roger Lew Hiatt Jr, MD
600 N 7th St,
West Memphis, AR 72301-3235
Ph: (870) 394-7100 |
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