Mrs Heather Joy Roark, PSY D, LP - Medicare Psychologist in Virginia, MN

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Mrs Heather Joy Roark, PSY D, LP is a medicare enrolled "Psychologist - Clinical" provider in Virginia, Minnesota. Her current practice location is 624 13th St S, Virginia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 749-2881.

Mrs Heather Joy Roark is licensed to practice in Minnesota (license number LP5089) 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 1619048980.

Contact Information

Mrs Heather Joy Roark, PSY D, LP
624 13th St S,
Virginia, MN 55792-3149
(218) 749-2881
(218) 749-3806

Map and Direction




Healthcare Provider's Profile

Full NameMrs Heather Joy Roark
GenderFemale
SpecialityPsychologist - Clinical
Location624 13th St S, Virginia, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619048980
  • Provider Enumeration Date: 11/10/2006
  • Last Update Date: 12/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1850446055
  • Enrollment ID: I20090910000575

Medical Identifiers

Medical identifiers for Mrs Heather Joy Roark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619048980NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical LP5089 (Minnesota)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Mrs Heather Joy Roark allows following entities to bill medicare on her behalf.
Entity NameRange Mental Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457452823
PECOS PAC ID: 3173434628
Enrollment ID: O20040930000462

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. Mrs Heather Joy 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 AddressPractice Location Address
Mrs Heather Joy Roark, PSY D, LP
Po Box 1188,
Virginia, MN 55792-1188

Ph: (218) 749-2881		Mrs Heather Joy Roark, PSY D, LP
624 13th St S,
Virginia, MN 55792-3149

Ph: (218) 749-2881

Reviews and Comments


Psychologist in Virginia, MN

Robert W Mcallister Jr., MA LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792
Phone: 218-749-2881    Fax: 218-749-3806
Barbara J Thorne, MA LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792
Phone: 218-749-2881    Fax: 218-749-3806
Autumn V Cole, PHD LP LICSW
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 624 S 13th St, Virginia, MN 55792
Phone: 218-749-2881    Fax: 218-749-3806
Mary J Carpenter, MS ED LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792
Phone: 218-749-2881    Fax: 218-749-3806
Craig D Stevens, PHD LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792
Phone: 218-749-2881    Fax: 218-749-3806
Ms. Claire Jean Ulrich, M.A.L.P.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 801 12th St N, Virginia, MN 55792
Phone: 218-741-9460    

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