Mr Justin Rohrback, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Brogue, Pennsylvania. His current practice location is
2500 Delta Rd, Brogue, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 927-8434.
Mr Justin Rohrback is licensed to practice in Pennsylvania (license number SP022119) 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 1801412465.
Provider's Profile
Full Name | Mr Justin Rohrback |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 2500 Delta Rd, Brogue, Pennsylvania |
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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: 1801412465
- Provider Enumeration Date: 06/19/2020
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668881657
- Enrollment ID: I20210504000225
Medical Identifiers
Medical identifiers for Mr Justin Rohrback such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801412465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP022119 (Pennsylvania) | Primary |
163W00000X | Registered Nurse | RN700337 (Pennsylvania) | Secondary |
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. Mr Justin Rohrback allows following entities to bill medicare on his behalf.
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
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Entity Name | Pinnacle Health Regional Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013441690 PECOS PAC ID: 7416228358 Enrollment ID: O20170810001731 |
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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. Mr Justin Rohrback 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 |
Mr Justin Rohrback, CRNP 2500 Delta Rd, Brogue, PA 17309-9106 Ph: () - | Mr Justin Rohrback, CRNP 2500 Delta Rd, Brogue, PA 17309-9106 Ph: (717) 927-8434 |
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