Maritza Roman, MD, PEDIATRICIAN is a medicare enrolled "Pediatrics" physician in Anadarko, Oklahoma. Her current practice location is
115 N.e. Oldtown Drive, Anadarko, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 247-2458.
Maritza Roman is licensed to practice in Ohio (license number 35071329) 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 1780787317.
Physician's Profile
Full Name | Maritza Roman |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 115 N.e. Oldtown Drive, Anadarko, Oklahoma |
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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: 1780787317
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6901949668
- Enrollment ID: I20100203000162
Medical Identifiers
Medical identifiers for Maritza Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780787317 | NPI | - | NPPES |
9171329 | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 35071329 (Ohio) | 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. Maritza Roman allows following entities to bill medicare on her behalf.
Entity Name | Anadarko Indian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881637403 PECOS PAC ID: 7719931559 Enrollment ID: O20050304000365 |
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Entity Name | Carnegie Indian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457459158 PECOS PAC ID: 1456456144 Enrollment ID: O20071217000184 |
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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. Maritza 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 |
Maritza Roman, MD, PEDIATRICIAN P.o. Box 828, Anadarko, OK 73005-0828 Ph: (405) 247-2458 | Maritza Roman, MD, PEDIATRICIAN 115 N.e. Oldtown Drive, Anadarko, OK 73005-0828 Ph: (405) 247-2458 |
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