Sean Kevin Roden, MD is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Lakeway, Texas. Sean Kevin Roden is licensed to practice in Texas (license number J8743) and his current practice location is 1411 Ranch Road 620 S, Lakeway, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 668-9090.
NPI number for Sean Kevin Roden is 1528046554 and his current mailing address is 2951 Marina Bay Dr # 130470, League City, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528046554.
Physician's Profile
| Full Name | Sean Kevin Roden |
|---|
| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 1411 Ranch Road 620 S, Lakeway, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528046554
- Provider Enumeration Date: 01/09/2006
- Last Update Date: 01/10/2025
Medical Identifiers
Medical identifiers for Sean Kevin Roden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528046554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | MD153416 (Oregon) | Secondary |
| 207P00000X | Emergency Medicine | J8743 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | 12372 (Hawaii) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | J8743 (Texas) | Secondary |
| 208D00000X | General Practice | MD153416 (Oregon) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | J8743 (Texas) | Primary |
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. Sean Kevin Roden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sean Kevin Roden, MD
2951 Marina Bay Dr # 130470,
League City, TX 77573-2735
Ph: () - | Sean Kevin Roden, MD
1411 Ranch Road 620 S,
Lakeway, TX 78734-6317
Ph: (512) 668-9090 |
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