John Roll, APRN,CNS is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Hettinger, North Dakota. His current practice location is
1000 Highway 12, Hettinger, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 567-4561.
John Roll is licensed to practice in North Dakota (license number R36407) 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 1487022885.
Provider's Profile
Full Name | John Roll |
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Gender | Male |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | 1000 Highway 12, Hettinger, North Dakota |
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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: 1487022885
- Provider Enumeration Date: 09/02/2015
- Last Update Date: 02/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810206505
- Enrollment ID: I20151020001812
Medical Identifiers
Medical identifiers for John Roll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487022885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | R36407 (North Dakota) | 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. John Roll allows following entities to bill medicare on his behalf.
Entity Name | West River Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174606271 PECOS PAC ID: 0042127045 Enrollment ID: O20040128001023 |
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Entity Name | West River Health Services |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1588763247 PECOS PAC ID: 0042127045 Enrollment ID: O20100909000218 |
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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. John Roll 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 |
John Roll, APRN,CNS Po Box 2010, Fargo, ND 58122-2484 Ph: (701) 234-2000 | John Roll, APRN,CNS 1000 Highway 12, Hettinger, ND 58639-7530 Ph: (701) 567-4561 |
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