Sydney Roark, APRN in Hazard, KY - Medicare Nurse Practitioner

Sydney Roark, APRN is a medicare enrolled "Nurse Practitioner" in Hazard, Kentucky. Her current practice location is 200 Medical Center Dr, Hazard, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 439-3952.

Sydney Roark is licensed to practice in Kentucky (license number 3018011) 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 1013649631.

Contact Information

	Sydney Roark, APRN
	200 Medical Center Dr, Hazard, KY 41701-9466
	(606) 439-3952
	Not Available

Map and Direction

Provider's Profile

Full Name	Sydney Roark
Gender	Female
Speciality	Nurse Practitioner
Location	200 Medical Center Dr, Hazard, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013649631
Provider Enumeration Date: 06/30/2022
Last Update Date: 06/30/2022

Medicare PECOS Information:

PECOS PAC ID: 5092182659
Enrollment ID: I20221110002189

Medical Identifiers

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

Identifier	Type	State	Issuer
1013649631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1147653 (Kentucky)	Secondary
163W00000X	Registered Nurse	1147653 (Kentucky)	Secondary
363L00000X	Nurse Practitioner	3018011 (Kentucky)	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. Sydney Roark allows following entities to bill medicare on her behalf.

Entity Name	Appalachian Regional Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528148012 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520

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. Sydney 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
Sydney Roark, APRN 508 Oakhurst Ave, Hazard, KY 41701-1764 Ph: (606) 438-4225	Sydney Roark, APRN 200 Medical Center Dr, Hazard, KY 41701-9466 Ph: (606) 439-3952

Reviews and Comments

Nurse Practitioner Nurses in Hazard, KY

Janie C Thompson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 279 E Main St, Hazard, KY 41701 Phone: 606-487-9505 Fax: 606-436-0071
Trena Preston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 271 E Main St, Hazard, KY 41701 Phone: 606-439-1316 Fax: 606-435-0752
Chelsea Walker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Black Gold Blvd Ste 106, Hazard, KY 41701 Phone: 606-436-0711 Fax: 606-436-0848
Mrs. Robetta Melaine Baker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 Roy Campbell Dr, Hazard, KY 41701 Phone: 606-487-0776 Fax: 606-487-0777
Christina Ruth Martin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Town And Country Ln Ste 100, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-439-1400
Kelsey Lowe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Town And Country Ln, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-435-7516

Sydney Roark, APRN - Medicare Nurse Practitioner in Hazard, KY