Kenneth William Roach, MD is a medicare enrolled "Ophthalmology" physician in Fuquay Varina, North Carolina. He went to Medical College Of Pennsylvania and graduated in 1998 and has 26 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
1000 N Main St, Suite #204, Fuquay Varina, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 567-3709.
Kenneth William Roach is licensed to practice in North Carolina (license number 200300401) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780686014.
Physician's Profile
Full Name | Kenneth William Roach |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 26 Years |
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Location | 1000 N Main St, Fuquay Varina, North Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kenneth William Roach attended and graduated from Medical College Of Pennsylvania in 1998
NPI Data:
- NPI Number: 1780686014
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 02/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 4082508304
- Enrollment ID: I20040209000995
Medical Identifiers
Medical identifiers for Kenneth William Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780686014 | NPI | - | NPPES |
89134UY | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 200300401 (North Carolina) | Primary |
Medical Facilities Affiliation
Facility Name | Location | Facility Type |
Rex Hospital | Raleigh, NC | Hospital |
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. Kenneth William Roach allows following entities to bill medicare on his behalf.
Entity Name | Fuquay Ophthalmology And Glaucoma Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083717516 PECOS PAC ID: 0648462622 Enrollment ID: O20101008000523 |
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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. Kenneth William Roach 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 |
Kenneth William Roach, MD 605 Attain St, # 101, Fuquay Varina, NC 27526-1972 Ph: (919) 567-3709 | Kenneth William Roach, MD 1000 N Main St, Suite #204, Fuquay Varina, NC 27526-2056 Ph: (919) 567-3709 |
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