Stephanie Jennie Roddenberry, APRN in The Woodlands, TX

Stephanie Jennie Roddenberry, APRN is a medicare enrolled "Nurse Practitioner - Family" in The Woodlands, Texas. Her current practice location is 5 Grogans Park Dr, The Woodlands, Texas. You can reach out to her office (for appointments etc.) via phone at (727) 335-3325.

Stephanie Jennie Roddenberry is licensed to practice in Texas (license number AP137613) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649772377.

Contact Information

	Stephanie Jennie Roddenberry, APRN
	5 Grogans Park Dr, The Woodlands, TX 77380-2189
	(727) 335-3325
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Jennie Roddenberry
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5 Grogans Park Dr, The Woodlands, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649772377
Provider Enumeration Date: 03/08/2018
Last Update Date: 05/09/2022

Medicare PECOS Information:

PECOS PAC ID: 4789938937
Enrollment ID: I20181107001371

Medical Identifiers

Medical identifiers for Stephanie Jennie Roddenberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649772377	NPI	-	NPPES
8KE822	Other	TX	BCBSTX
390412001	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9342824 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	AP137613 (Texas)	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. Stephanie Jennie Roddenberry allows following entities to bill medicare on her behalf.

Entity Name	Premium Choice Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548824121 PECOS PAC ID: 4789089988 Enrollment ID: O20210826001489

Entity Name	Comprehensive Rehab Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710529771 PECOS PAC ID: 6800220682 Enrollment ID: O20220203000483

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. Stephanie Jennie Roddenberry 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
Stephanie Jennie Roddenberry, APRN 9020 Dameron Dr, Fort Worth, TX 76131-3414 Ph: () -	Stephanie Jennie Roddenberry, APRN 5 Grogans Park Dr, The Woodlands, TX 77380-2189 Ph: (727) 335-3325

Reviews and Comments

Nurse Practitioner Nurses in The Woodlands, TX

Jacqueline Vaglienty, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17200 St Lukes Way, The Woodlands, TX 77384 Phone: 936-266-2000
Annamaria Hager, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17198 St Lukes Way, Suite 250, The Woodlands, TX 77384 Phone: 936-321-8821 Fax: 936-321-8229
Amanda Wiegel, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8000 Research Forest Dr Ste 250, The Woodlands, TX 77382 Phone: 866-552-4866
Ms. Shelby Desoray Moses, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4185 Technology Forest Blvd Ste 155, The Woodlands, TX 77381 Phone: 972-661-2273
Claudia Christine Gilbert, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Grogans Park Dr, The Woodlands, TX 77380 Phone: 940-488-4741 Fax: 940-536-0539
Khairuniza Lao, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17200 St Lukes Way, The Woodlands, TX 77384 Phone: 936-266-2000
Julia Ann Manning, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17350 St. Lukes Way, Suite 400, The Woodlands, TX 77384 Phone: 281-444-3278 Fax: 832-249-3861

Stephanie Jennie Roddenberry, APRN - Medicare Nurse Practitioner in The Woodlands, TX