Nina Josefa Roque, MD in Vacaville, CA

Nina Josefa Roque, MD is a medicare enrolled "Pediatrics" physician in Vacaville, California. Her current practice location is 600 Nut Tree Rd, Suite 310, Vacaville, California. You can reach out to her office (for appointments etc.) via phone at (707) 359-1800.

Nina Josefa Roque is licensed to practice in Pennsylvania (license number MD434735) 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 1013123827.

Contact Information

	Nina Josefa Roque, MD
	600 Nut Tree Rd, Suite 310, Vacaville, CA 95687-4669
	(707) 359-1800
	Not Available

Map and Direction

Physician's Profile

Full Name	Nina Josefa Roque
Gender	Female
Speciality	Pediatrics
Location	600 Nut Tree Rd, Vacaville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013123827
Provider Enumeration Date: 05/16/2007
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 2365680048
Enrollment ID: I20130608000159

Medical Identifiers

Medical identifiers for Nina Josefa Roque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013123827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A109149 (California)	Secondary
208000000X	Pediatrics	MD434735 (Pennsylvania)	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. Nina Josefa Roque allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Nina Josefa Roque 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
Nina Josefa Roque, MD 600 Nut Tree Rd, Suite 310, Vacaville, CA 95687-4669 Ph: (707) 359-1800	Nina Josefa Roque, MD 600 Nut Tree Rd, Suite 310, Vacaville, CA 95687-4669 Ph: (707) 359-1800

Reviews and Comments

Pediatrics Doctors in Vacaville, CA

Matthew M Heeren, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 421 Nut Tree Rd, Vacaville, CA 95687 Phone: 707-624-7500 Fax: 707-624-7501
Brigitte M Randle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 770 Mason St, Vacaville, CA 95688 Phone: 707-454-5800 Fax: 707-454-5871
Steven J.o. Chun, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-453-5000
Jeffrey L. Gaborko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-453-5000
Mary Catherine Land, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-453-5000
Dr. Randolph Clinton Thomas, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 770 Mason St, Vacaville, CA 95688 Phone: 707-427-4900 Fax: 707-454-5871

Nina Josefa Roque, MD - Medicare Pediatrics in Vacaville, CA