Jennifer Renee Roman, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Winter Park, Florida. Her current practice location is
1925 Mizell Ave Ste 201, Winter Park, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 646-7015.
Jennifer Renee Roman is licensed to practice in Florida (license number APRN11023964) 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 1033824487.
Physician's Profile
Full Name | Jennifer Renee Roman |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1925 Mizell Ave Ste 201, Winter Park, Florida |
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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: 1033824487
- Provider Enumeration Date: 01/19/2023
- Last Update Date: 02/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385017268
- Enrollment ID: I20230223000720
Medical Identifiers
Medical identifiers for Jennifer Renee Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033824487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RI0200X | Internal Medicine - Infectious Disease | 11023964 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11023964 (Florida) | 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. Jennifer Renee Roman allows following entities to bill medicare on her behalf.
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
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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. Jennifer Renee Roman 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 |
Jennifer Renee Roman, APRN 1925 Mizell Ave Ste 201, Winter Park, FL 32792-4155 Ph: (407) 646-7015 | Jennifer Renee Roman, APRN 1925 Mizell Ave Ste 201, Winter Park, FL 32792-4155 Ph: (407) 646-7015 |
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