Mr Kevin Roa, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Las Vegas, Nevada. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Eugene Rosenman Md Ltd and his current practice location is
620 S Tonopah Dr, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 413-1391.
Mr Kevin Roa is licensed to practice in Nevada (license number 857971) 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 1609597392.
Physician's Profile
| Full Name | Mr Kevin Roa |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 620 S Tonopah Dr, Las Vegas, Nevada |
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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. |
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Medical Education and Training:
- Mr Kevin Roa graduated from medical school in 2022
NPI Data:
- NPI Number: 1609597392
- Provider Enumeration Date: 09/09/2022
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991174179
- Enrollment ID: I20221209001603
Medical Identifiers
Medical identifiers for Mr Kevin Roa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609597392 | NPI | - | NPPES |
| 1760195796 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 857971 (Nevada) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 857971 (Nevada) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eugene Rosenman Md Ltd | 9436181237 | 14 |
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. Mr Kevin Roa allows following entities to bill medicare on his behalf.
| Entity Name | University Medical Center Of Southern Nevada |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548393127
PECOS PAC ID: 7315934429
Enrollment ID: O20040429001053 |
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| Entity Name | Eugene Rosenman Md Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265568703
PECOS PAC ID: 9436181237
Enrollment ID: O20050831000971 |
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| Entity Name | Luis Carlos O Ortega |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760195796
PECOS PAC ID: 2062886617
Enrollment ID: O20230707002947 |
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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. Mr Kevin Roa 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 |
|---|
Mr Kevin Roa, PMHNP
2775 S Jones Blvd Ste 101,
Las Vegas, NV 89146-5632
Ph: (702) 685-3300 | Mr Kevin Roa, PMHNP
620 S Tonopah Dr,
Las Vegas, NV 89106-4029
Ph: (702) 413-1391 |
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