Edith Mary Roe, NP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Homedale, Idaho. Her current practice location is
126 W Idaho Ave, Homedale, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 337-7038.
Edith Mary Roe is licensed to practice in Idaho (license number 60044) 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 1831667468.
Provider's Profile
| Full Name | Edith Mary Roe |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 126 W Idaho Ave, Homedale, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831667468
- Provider Enumeration Date: 11/13/2018
- Last Update Date: 04/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 4385788108
- Enrollment ID: I20241010000953
Medical Identifiers
Medical identifiers for Edith Mary Roe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831667468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 201910193NP (Oregon) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 60044 (Idaho) | 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. Edith Mary Roe allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210309003127 |
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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. Edith Mary Roe 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 |
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Edith Mary Roe, NP-BC
126 W. Idaho Ave,
Homedale, ID 83628
Ph: (208) 337-7038 | Edith Mary Roe, NP-BC
126 W Idaho Ave,
Homedale, ID 83628-0037
Ph: (208) 337-7038 |
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