Maile G Roman, FNP in Sunnyvale, TX - Medicare Nurse Practitioner

Maile G Roman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sunnyvale, Texas. Her current practice location is 3615 N Belt Line Rd Ste 300, Sunnyvale, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 682-7500.

Maile G Roman is licensed to practice in Texas (license number AP132474) 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 1265984751.

Contact Information

	Maile G Roman, FNP
	3615 N Belt Line Rd Ste 300, Sunnyvale, TX 75182-9235
	(972) 682-7500
	(972) 682-7695

Map and Direction

Provider's Profile

Full Name	Maile G Roman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3615 N Belt Line Rd Ste 300, Sunnyvale, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265984751
Provider Enumeration Date: 10/31/2016
Last Update Date: 01/16/2019

Medicare PECOS Information:

PECOS PAC ID: 8921375841
Enrollment ID: I20170525000642

Medical Identifiers

Medical identifiers for Maile G Roman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265984751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP132474 (Texas)	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. Maile G Roman allows following entities to bill medicare on her behalf.

Entity Name	Texas Wound Care Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487362851 PECOS PAC ID: 4183097983 Enrollment ID: O20230307000471

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. Maile G Roman 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
Maile G Roman, FNP Po Box 12171, Dallas, TX 75225-0171 Ph: (972) 682-7500	Maile G Roman, FNP 3615 N Belt Line Rd Ste 300, Sunnyvale, TX 75182-9235 Ph: (972) 682-7500

Reviews and Comments

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Maile G Roman, FNP - Medicare Nurse Practitioner in Sunnyvale, TX