Miss Michelle Roque Dallas, FNP-C in Travis Afb, CA

Miss Michelle Roque Dallas, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Travis Afb, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Alaska Native Tribal Health Consortium and her current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at (707) 423-5428.

Miss Michelle Roque Dallas is licensed to practice in Texas (license number AP127623) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821482506.

Contact Information

	Miss Michelle Roque Dallas, FNP-C
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(707) 423-5428
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Michelle Roque Dallas
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Michelle Roque Dallas graduated from nursing school in 2014

NPI Data:

NPI Number: 1821482506
Provider Enumeration Date: 03/20/2015
Last Update Date: 10/05/2018

Medicare PECOS Information:

PECOS PAC ID: 8820318215
Enrollment ID: I20150527000778

Medical Identifiers

Medical identifiers for Miss Michelle Roque Dallas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821482506	NPI	-	NPPES
354050201	Medicaid	TX
AP127623	Other	TX	TX FNP LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP127623 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alaska Native Medical Center	Anchorage, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alaska Native Tribal Health Consortium	6709780265	449

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. Miss Michelle Roque Dallas allows following entities to bill medicare on her behalf.

Entity Name	Alaska Native Tribal Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772

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. Miss Michelle Roque Dallas 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
Miss Michelle Roque Dallas, FNP-C 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: () -	Miss Michelle Roque Dallas, FNP-C 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5428

Reviews and Comments

Nurse Practitioner Nurses in Travis Afb, CA

Brandy J Ellis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Missouri Way, Travis Afb, CA 94535 Phone: 478-235-4354
Samantha Obrien, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5124
Ann Marie Zenobia, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7927
Yardana Gill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir Bldg 777, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-3357
Mrs. Nicole Ivy-kutzler, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-7894
Zlatoslava Karga, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5174
Leslie A Christopher, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5311

Miss Michelle Roque Dallas, FNP-C - Medicare Nurse Practitioner in Travis Afb, CA