Michael Roman, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Stamford, Connecticut. His current practice location is
9 W Broad St Ste 3, Stamford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 208-9129.
Michael Roman is licensed to practice in * (Not Available) (license number ) 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 1346745254.
Physician's Profile
Full Name | Michael Roman |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 9 W Broad St Ste 3, Stamford, Connecticut |
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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: 1346745254
- Provider Enumeration Date: 03/24/2018
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385027044
- Enrollment ID: I20220815000042
Medical Identifiers
Medical identifiers for Michael Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346745254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 471474 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Michael Roman allows following entities to bill medicare on his behalf.
Entity Name | Mccd Psychiatry Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20220223000161 |
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Entity Name | Mccd Fl Psychiatry Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230123002638 |
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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. Michael 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 |
Michael Roman, MD 9 W Broad St Ste 3, Stamford, CT 06902-3734 Ph: (203) 208-9129 | Michael Roman, MD 9 W Broad St Ste 3, Stamford, CT 06902-3734 Ph: (203) 208-9129 |
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