Sebastian S Roque, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. His current practice location is
1020 Sansom St Ste 1651b, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 955-9837.
Sebastian S Roque 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 1700465788.
Physician's Profile
Full Name | Sebastian S Roque |
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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 | 1020 Sansom St Ste 1651b, Philadelphia, Pennsylvania |
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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: 1700465788
- Provider Enumeration Date: 04/06/2021
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961811468
- Enrollment ID: I20240612000922
Medical Identifiers
Medical identifiers for Sebastian S Roque such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700465788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 329834 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Sebastian S 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 |
Sebastian S Roque, 1020 Sansom St Ste 1651b, Philadelphia, PA 19107-5002 Ph: (215) 955-9837 | Sebastian S Roque, 1020 Sansom St Ste 1651b, Philadelphia, PA 19107-5002 Ph: (215) 955-9837 |
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