Paul Andrew Rozeboom, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Shenandoah, Iowa. His current practice location is
1 Jack Foster Dr, Shenandoah, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 246-7400.
Paul Andrew Rozeboom is licensed to practice in Iowa (license number 32107) 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 1730172040.
Physician's Profile
Full Name | Paul Andrew Rozeboom |
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Gender | Male |
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Speciality | Pediatrics - Adolescent Medicine |
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Location | 1 Jack Foster Dr, Shenandoah, Iowa |
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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: 1730172040
- Provider Enumeration Date: 08/23/2005
- Last Update Date: 03/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 1759394018
- Enrollment ID: I20060803000289
Medical Identifiers
Medical identifiers for Paul Andrew Rozeboom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730172040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080A0000X | Pediatrics - Adolescent Medicine | 32107 (Iowa) | 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. Paul Andrew Rozeboom allows following entities to bill medicare on his behalf.
Entity Name | Shenandoah Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497810972 PECOS PAC ID: 9436063237 Enrollment ID: O20040209000347 |
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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. Paul Andrew Rozeboom 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 |
Paul Andrew Rozeboom, MD 300 Pershing Ave, Shenandoah, IA 51601-2355 Ph: (712) 246-1230 | Paul Andrew Rozeboom, MD 1 Jack Foster Dr, Shenandoah, IA 51601-4586 Ph: (712) 246-7400 |
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