Rolkin Petit Homme, is a
Internal Medicine - Critical Care Medicine based in West Palm Beach, Florida. Rolkin Petit Homme is licensed to practice in New Jersey (license number NJDATEMP-000486) and his current practice location is
736 Dogwood Rd, West Palm Beach, Florida. He can be reached at his office (for appointments etc.) via phone at
(773) 977-6930.
NPI number for Rolkin Petit Homme is 1851920508 and his current mailing address is 5069 Okeechobee Blvd, West Palm Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851920508.
Provider's Profile
| Full Name | Rolkin Petit Homme |
|---|
| Gender | Male |
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| Speciality | Internal Medicine - Critical Care Medicine |
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| Location | 736 Dogwood Rd, West Palm Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851920508
- Provider Enumeration Date: 04/05/2020
- Last Update Date: 08/28/2024
Medical Identifiers
Medical identifiers for Rolkin Petit Homme such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851920508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 11034560 (Florida) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | NJDATEMP-000486 (New Jersey) | Primary |
| 363A00000X | Physician Assistant | 10171 (Arizona) | Secondary |
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. Rolkin Petit Homme is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rolkin Petit Homme,
5069 Okeechobee Blvd,
West Palm Beach, FL 33417-4533
Ph: (561) 667-4082 | Rolkin Petit Homme,
736 Dogwood Rd,
West Palm Beach, FL 33409-6139
Ph: (773) 977-6930 |
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