John Roosenberg, MD is a medicare enrolled "Internal Medicine" physician in Allegan, Michigan. His current practice location is
551 Linn St, Suite 110, Allegan, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 673-2158.
John Roosenberg is licensed to practice in Michigan (license number 4301039017) 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 1508946021.
Physician's Profile
Full Name | John Roosenberg |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 551 Linn St, Allegan, Michigan |
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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: 1508946021
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 12/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 5496948523
- Enrollment ID: I20101021001082
Medical Identifiers
Medical identifiers for John Roosenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508946021 | NPI | - | NPPES |
0030774 | Other | MI | BCBS |
2091069 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 4301039017 (Michigan) | 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. John Roosenberg allows following entities to bill medicare on his behalf.
Entity Name | Allegan Professional Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134281223 PECOS PAC ID: 8325048622 Enrollment ID: O20070111000064 |
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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. John Roosenberg 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 |
John Roosenberg, MD 551 Linn St, Suite 110, Allegan, MI 49010-1595 Ph: (269) 673-2158 | John Roosenberg, MD 551 Linn St, Suite 110, Allegan, MI 49010-1595 Ph: (269) 673-2158 |
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