Dr Tomasz Rogula, MD, PHD - Medicare Surgery in Edinburg, TX

Dr Tomasz Rogula, MD, PHD is a medicare enrolled "Surgery" physician in Edinburg, Texas. His current practice location is 5500 Raphael Dr, Edinburg, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 362-5673.

Dr Tomasz Rogula is licensed to practice in Texas (license number T9973) 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 1265407696.

Contact Information

Dr Tomasz Rogula, MD, PHD
5500 Raphael Dr,
Edinburg, TX 78539-1407
(956) 362-5673
(956) 362-2038

Map and Direction




Physician's Profile

Full NameDr Tomasz Rogula
GenderMale
SpecialitySurgery
Location5500 Raphael Dr, Edinburg, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265407696
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 03/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436120581
  • Enrollment ID: I20221020000131

Medical Identifiers

Medical identifiers for Dr Tomasz Rogula such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265407696NPI-NPPES
101099127MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery T9973 (Texas)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 Tomasz Rogula allows following entities to bill medicare on his behalf.
Entity NameRenaissance Bmi
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295163327
PECOS PAC ID: 0446483077
Enrollment ID: O20140505001989

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 Tomasz Rogula 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 Tomasz Rogula, MD, PHD
Po Box 5358,
Mcallen, TX 78502-5358

Ph: (956) 362-5673
Dr Tomasz Rogula, MD, PHD
5500 Raphael Dr,
Edinburg, TX 78539-1407

Ph: (956) 362-5673

Reviews and Comments


Surgery Doctors in Edinburg, TX

Dr. Niko Laii De Angel, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539
Phone: 569-789-3937    
Edward J. Kruse, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3804 S Jackson Rd Ste 1, Edinburg, TX 78539
Phone: 956-296-3001    Fax: 956-296-3000
Guillermo R Perez, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5015 S Mccoll Rd, Edinburg, TX 78539
Phone: 956-627-3686    Fax: 956-664-0531
Mabel Luciano,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539
Phone: 956-362-8677    
Maya Denise Paige, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5500 Raphael Dr, Edinburg, TX 78539
Phone: 956-362-5673    Fax: 956-362-2038
Dr. Robert Eugene Alleyn, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5500 Raphael Dr, Edinburg, TX 78539
Phone: 956-362-5673    Fax: 956-362-2038

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.