Vanessa Roll, RN is a medicare enrolled "Nurse Practitioner - Adult Health" in Versailles, Indiana. Her current practice location is
112 W South St, Versailles, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 701-0297.
Vanessa Roll is licensed to practice in Indiana (license number 28172068A) 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 1164102117.
Provider's Profile
Full Name | Vanessa Roll |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 112 W South St, Versailles, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164102117
- Provider Enumeration Date: 07/24/2023
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153318001
- Enrollment ID: I20241101001833
Medical Identifiers
Medical identifiers for Vanessa Roll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164102117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0600X | Registered Nurse - Gerontology | 28172068A (Indiana) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 28172068A (Indiana) | 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. Vanessa Roll allows following entities to bill medicare on her behalf.
Entity Name | Total Care Family Practice Rick Bobay Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356674162 PECOS PAC ID: 5991844631 Enrollment ID: O20091209000326 |
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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. Vanessa Roll 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 |
Vanessa Roll, RN 112 W South St, Versailles, IN 47042-9452 Ph: (812) 701-0297 | Vanessa Roll, RN 112 W South St, Versailles, IN 47042-9452 Ph: (812) 701-0297 |
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