Mr Luis-alejandro Roldan, NP in New Berlin, WI

Mr Luis-alejandro Roldan, NP is a medicare enrolled "Nurse Practitioner" in New Berlin, Wisconsin. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Aurora Medical Group, Inc., Lakeshore Medical Clinic Llc and his current practice location is 14555 W National Ave, New Berlin, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (844) 284-0381.

Mr Luis-alejandro Roldan is licensed to practice in Wisconsin (license number 8641) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184101586.

Contact Information

	Mr Luis-alejandro Roldan, NP
	14555 W National Ave, New Berlin, WI 53151-4494
	(844) 284-0381
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Luis-alejandro Roldan
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	14555 W National Ave, New Berlin, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Luis-alejandro Roldan graduated from nursing school in 2018

NPI Data:

NPI Number: 1184101586
Provider Enumeration Date: 07/27/2018
Last Update Date: 09/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3274885629
Enrollment ID: I20181011002846

Medical Identifiers

Medical identifiers for Mr Luis-alejandro Roldan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184101586	NPI	-	NPPES
100082251	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209029946 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	8641-33 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	8641 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269
Lakeshore Medical Clinic Llc	7719890730	293

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 Luis-alejandro Roldan allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

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 Luis-alejandro Roldan 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 Luis-alejandro Roldan, NP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Mr Luis-alejandro Roldan, NP 14555 W National Ave, New Berlin, WI 53151-4494 Ph: (844) 284-0381

Reviews and Comments

Nurse Practitioner Nurses in New Berlin, WI

Mrs. Jennifer Hidalgo Hruz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2355 S Krahn Rd, New Berlin, WI 53151 Phone: 414-248-3394
Mr. Dennis J Garvin, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12901 W National Ave, New Berlin, WI 53151 Phone: 262-787-5200
Katherine Ciminelli Waller, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4855 S Moorland Rd Fl 3, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694
Michelle L Martin, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 262-827-2955
Ms. Julie Ann Averbeck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151 Phone: 414-425-5660 Fax: 414-425-9803
Kyla Phu, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 844-284-0381
Mrs. Margaret R Salinas, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 262-827-2955

Mr Luis-alejandro Roldan, NP - Medicare Nurse Practitioner in New Berlin, WI