Mr Roger Wayne Kirk Jr, CRNP in Troy, AL - Medicare Nurse Practitioner

Mr Roger Wayne Kirk Jr, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Troy, Alabama. His current practice location is 1340 Highway 231 S Ste 1, Troy, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 770-7337.

Mr Roger Wayne Kirk Jr is licensed to practice in Alabama (license number 1-079245) 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 1790947620.

Contact Information

	Mr Roger Wayne Kirk Jr, CRNP
	1340 Highway 231 S Ste 1, Troy, AL 36081-3012
	(334) 770-7337
	(334) 770-7339

Map and Direction

Provider's Profile

Full Name	Mr Roger Wayne Kirk Jr
Gender	Male
Speciality	Nurse Practitioner - Pediatrics
Location	1340 Highway 231 S Ste 1, Troy, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790947620
Provider Enumeration Date: 07/01/2008
Last Update Date: 02/17/2012

Medicare PECOS Information:

PECOS PAC ID: 3678769700
Enrollment ID: I20230908000767

Medical Identifiers

Medical identifiers for Mr Roger Wayne Kirk Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790947620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	1-079245 (Alabama)	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. Mr Roger Wayne Kirk Jr allows following entities to bill medicare on his behalf.

Entity Name	Dothan Pediatric Clinic, P. A.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376508788 PECOS PAC ID: 0749245330 Enrollment ID: O20041123000377

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 Roger Wayne Kirk Jr 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 Roger Wayne Kirk Jr, CRNP Po Box 312, Union Springs, AL 36089-0312 Ph: (334) 740-5252	Mr Roger Wayne Kirk Jr, CRNP 1340 Highway 231 S Ste 1, Troy, AL 36081-3012 Ph: (334) 770-7337

Reviews and Comments

Nurse Practitioner Nurses in Troy, AL

Margaret Mary Tisdale Steed, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1330 Highway 231 S, Troy, AL 36081 Phone: 334-670-5420
Lakeveya Shaqua Jones, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 Dr L C Mcmillian Ave, Troy, AL 36081 Phone: 334-492-0470
Sarah E Dowdy, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1412 Elba Hwy, Troy, AL 36079 Phone: 334-566-8822 Fax: 334-670-2081
Carrie Lee Gardner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1350 Highway 231 S, Troy, AL 36081 Phone: 334-566-1270 Fax: 334-566-1296
Gwendolyn Calhoon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 Highway 231 S, Troy, AL 36081 Phone: 334-566-7600 Fax: 334-566-9181
Ms. Stacey Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 S Franklin Dr, Troy, AL 36081 Phone: 334-566-9800 Fax: 334-566-3700
Robert Alan Wade, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1412 Elba Hwy, Troy, AL 36079 Phone: 334-566-8822 Fax: 334-808-8942

Mr Roger Wayne Kirk Jr, CRNP - Medicare Nurse Practitioner in Troy, AL