Dr Keith Roeder, PSYD is a medicare enrolled "Psychologist" provider in Middlesex, Connecticut. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Roeder And Polansky Family And Child Associates and his current practice location is
300 Plaza Middlesex, 3rd Floor, Middlesex, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 347-9911.
Dr Keith Roeder is licensed to practice in Connecticut (license number 1719) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912932294.
Healthcare Provider's Profile
Full Name | Dr Keith Roeder |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 34 Years |
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Location | 300 Plaza Middlesex, Middlesex, Connecticut |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Keith Roeder graduated from medical school in 1990
NPI Data:
- NPI Number: 1912932294
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0547267361
- Enrollment ID: I20111117000247
Medical Identifiers
Medical identifiers for Dr Keith Roeder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912932294 | NPI | - | NPPES |
060001719CT01 | Other | | BLUE CROSS |
163070 | Other | | VALUE OPTIONS |
P664410 | Other | | OXFORD |
1037571 | Other | | CIGNA |
708160 | Other | | MAGELLAN |
157460 | Other | | MHN |
00414087800 | Medicaid | CT | |
0567535 | Other | | UHC |
4257498 | Other | CT | AETNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 1719 (Connecticut) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Roeder And Polansky Family And Child Associates | 2466459284 | 2 |
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. Dr Keith Roeder allows following entities to bill medicare on his behalf.
Entity Name | Roeder And Polansky Family And Child Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679508956 PECOS PAC ID: 2466459284 Enrollment ID: O20061108000364 |
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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. Dr Keith Roeder 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 |
Dr Keith Roeder, PSYD 300 Plaza Middlesex, 3rd Floor, Middlesex, CT 06457 Ph: (860) 347-9911 | Dr Keith Roeder, PSYD 300 Plaza Middlesex, 3rd Floor, Middlesex, CT 06457 Ph: (860) 347-9911 |
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