Mark Roark, APRN in London, KY - Medicare Nurse Practitioner

Mark Roark, APRN is a medicare enrolled "Nurse Practitioner" in London, Kentucky. His current practice location is 195 Commercial Dr Ste 98, London, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 878-1219.

Mark Roark is licensed to practice in Kentucky (license number 3008480) 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 1518380625.

Contact Information

	Mark Roark, APRN
	195 Commercial Dr Ste 98, London, KY 40744-5200
	(606) 878-1219
	(606) 877-1195

Map and Direction

Provider's Profile

Full Name	Mark Roark
Gender	Male
Speciality	Nurse Practitioner
Location	195 Commercial Dr Ste 98, London, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518380625
Provider Enumeration Date: 01/24/2014
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 2466675699
Enrollment ID: I20140515001631

Medical Identifiers

Medical identifiers for Mark Roark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518380625	NPI	-	NPPES
7100294960	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3008480 (Kentucky)	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. Mark Roark allows following entities to bill medicare on his behalf.

Entity Name	Monticello Medical Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063007672 PECOS PAC ID: 2062409154 Enrollment ID: O20040429000965

Entity Name	Kentucky Family Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851054597 PECOS PAC ID: 4486042207 Enrollment ID: O20230516001007

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. Mark Roark 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
Mark Roark, APRN 195 Commercial Dr Ste 98, London, KY 40744-5200 Ph: (606) 878-1219	Mark Roark, APRN 195 Commercial Dr Ste 98, London, KY 40744-5200 Ph: (606) 878-1219

Reviews and Comments

Nurse Practitioner Nurses in London, KY

Robin R House, APRN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1406 W 5th St, Suite 201, London, KY 40741 Phone: 606-330-2377 Fax: 606-330-2369
Mrs. Angela Jo Cain, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1374 Highway 192 E Ste 400, London, KY 40741 Phone: 606-770-5454 Fax: 606-770-5455
Mrs. Stephanie Marie Sumner, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 London Mountain View Dr Fl 1, London, KY 40741 Phone: 859-275-5229 Fax: 859-977-2683
Mrs. Ashley Barton, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 421 W Highway 80, London, KY 40741 Phone: 606-657-2345
Yalanda Dairlene Scalf, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 73 Thompson Poynter Rd Ste A, London, KY 40741 Phone: 606-657-5912 Fax: 606-657-5915
David Cody Dugger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 London Mountain View Dr, London, KY 40741 Phone: 606-864-0770 Fax: 606-864-1461
Kyra N Gambrel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1210 West 5th Street, London, KY 40741 Phone: 606-864-4040 Fax: 606-864-3500

Mark Roark, APRN - Medicare Nurse Practitioner in London, KY