Susette R Roark, APRN in Louisville, KY - Medicare Nurse Practitioner

Susette R Roark, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Louisville, Kentucky. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospitalist Physicians Of Indiana Pc, Hospital Medicine Services Of Maine Llc and her current practice location is 3900 Kresge Way, Ste 46, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 899-3858.

Susette R Roark is licensed to practice in Indiana (license number 71006841A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902343957.

Contact Information

	Susette R Roark, APRN
	3900 Kresge Way, Ste 46, Louisville, KY 40207-4660
	(502) 899-3858
	(502) 899-3878

Map and Direction

Provider's Profile

Full Name	Susette R Roark
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	3900 Kresge Way, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susette R Roark graduated from nursing school in 2016

NPI Data:

NPI Number: 1902343957
Provider Enumeration Date: 01/30/2017
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7517240252
Enrollment ID: I20170203001208

Medical Identifiers

Medical identifiers for Susette R Roark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902343957	NPI	-	NPPES
71006841B	Other	IN	CDS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71006841A (Indiana)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	71006841A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dupont Hospital Llc	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospitalist Physicians Of Indiana Pc	1052795986	128
Hospital Medicine Services Of Maine Llc	1759621469	36

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. Susette R Roark allows following entities to bill medicare on her behalf.

Entity Name	Hospitalist Physicians Of Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306576277 PECOS PAC ID: 1052795986 Enrollment ID: O20220826000967

Entity Name	New Albany Hospitalist Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255084752 PECOS PAC ID: 4880041409 Enrollment ID: O20231103000792

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. Susette R Roark 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
Susette R Roark, APRN 5200 Commerce Crossings Dr Fl 3, Louisville, KY 40229-2182 Ph: (502) 253-4900	Susette R Roark, APRN 3900 Kresge Way, Ste 46, Louisville, KY 40207-4660 Ph: (502) 899-3858

Reviews and Comments

Nurse Practitioner Nurses in Louisville, KY

Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Susette R Roark, APRN - Medicare Nurse Practitioner in Louisville, KY