Louis C Roach, MD is a
Surgery physician based in Jacksonville, Texas. Louis C Roach is licensed to practice in Texas (license number J2762) and his current practice location is 2026 S Jackson St, Jacksonville, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 541-4500.
NPI number for Louis C Roach is 1295757540 and his current mailing address is Po Box 5500, Tyler, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295757540.
Physician's Profile
| Full Name | Louis C Roach |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 2026 S Jackson St, Jacksonville, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295757540
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 07/15/2013
Medical Identifiers
Medical identifiers for Louis C Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295757540 | NPI | - | NPPES |
| 8M6644 | Other | TX | BCBS-JACKSONVILLE |
| 034106702 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | J2762 (Texas) | 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. Louis C Roach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Louis C Roach, MD
Po Box 5500,
Tyler, TX 75712-5500
Ph: (903) 324-6450 | Louis C Roach, MD
2026 S Jackson St,
Jacksonville, TX 75766-5822
Ph: (903) 541-4500 |
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