Dr Roger H Belisle, PHD is a medicare enrolled "Psychologist - Forensic" provider in Ellsworth Afb, South Dakota. His current practice location is
2900 Doolittle Dr, Ellsworth Afb, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 385-3656.
Dr Roger H Belisle is licensed to practice in * (Not Available) (license number ) 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 1396047270.
Healthcare Provider's Profile
| Full Name | Dr Roger H Belisle |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 2900 Doolittle Dr, Ellsworth Afb, South Dakota |
|---|
| 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 Roger H Belisle attended and graduated from in
NPI Data:
- NPI Number: 1396047270
- Provider Enumeration Date: 11/24/2010
- Last Update Date: 07/25/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Roger H Belisle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396047270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 577 (South Dakota) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810004580 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 36625 (Texas) | Secondary |
| 103TF0200X | Psychologist - Forensic | 577 (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | 0810004580 (Virginia) | Secondary |
| 103TF0200X | Psychologist - Forensic | 36625 (Texas) | Secondary |
| 103TF0200X | Psychologist - Forensic | 577 (South Dakota) | Secondary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Primary |
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 Roger H Belisle 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 Roger H Belisle, PHD
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821
Ph: (605) 385-3656 | Dr Roger H Belisle, PHD
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821
Ph: (605) 385-3656 |
Reviews and Comments