Dorothy Jean Roback, APNP is a
Nurse Practitioner - Family based in Greenwood, Wisconsin. Dorothy Jean Roback is licensed to practice in Wisconsin (license number 1035-33) and her current practice location is
W5682 Lovers Rd, Greenwood, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 937-0718.
NPI number for Dorothy Jean Roback is 1497760359 and her current mailing address is W5682 Lovers Rd, Greenwood, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497760359.
Provider's Profile
Full Name | Dorothy Jean Roback |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | W5682 Lovers Rd, Greenwood, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497760359
- Provider Enumeration Date: 07/29/2006
- Last Update Date: 06/17/2011
Medical Identifiers
Medical identifiers for Dorothy Jean Roback such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497760359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1035-33 (Wisconsin) | 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. Dorothy Jean Roback 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 |
Dorothy Jean Roback, APNP W5682 Lovers Rd, Greenwood, WI 54437-8317 Ph: (715) 937-0718 | Dorothy Jean Roback, APNP W5682 Lovers Rd, Greenwood, WI 54437-8317 Ph: (715) 937-0718 |
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