Jenna Elizabeth Roller, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Hilton Head, South Carolina. Her current practice location is
15 Moss Creek Vlg, Hilton Head, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 681-5077.
Jenna Elizabeth Roller is licensed to practice in Maryland (license number C0004965) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548509052.
Physician's Profile
| Full Name | Jenna Elizabeth Roller |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Surgical |
|---|
| Location | 15 Moss Creek Vlg, Hilton Head, South Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1548509052
- Provider Enumeration Date: 02/04/2013
- Last Update Date: 03/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901043058
- Enrollment ID: I20180504001761
Medical Identifiers
Medical identifiers for Jenna Elizabeth Roller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548509052 | NPI | - | NPPES |
| 11011359 | Other | | NCCPA |
| C0004965 | Other | | MARYLAND BOARD OF PHYSICIANS |
| 2950 | Other | SC | SC PA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 2950 (South Carolina) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | C0004965 (Maryland) | Primary |
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. Jenna Elizabeth 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 |
|---|
Jenna Elizabeth Roller, PA-C
7419 Kimbark Ct, Apt. E,
Rosedale, MD 21237-3736
Ph: (610) 417-0273 | Jenna Elizabeth Roller, PA-C
15 Moss Creek Vlg,
Hilton Head, SC 29926-1105
Ph: (843) 681-5077 |
Reviews and Comments