Ms Tristan Roderick, MA is a
Psychologist based in Kill Devil Hills, North Carolina. Ms Tristan Roderick is licensed to practice in North Carolina (license number 1993) and her current practice location is
3210 N Croatan Hwy, Suite 1a, Kill Devil Hills, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 489-9750.
NPI number for Ms Tristan Roderick is 1902096886 and her current mailing address is 3210 N Croatan Hwy, Suite 1a, Kill Devil Hills, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902096886.
Healthcare Provider's Profile
| Full Name | Ms Tristan Roderick |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 3210 N Croatan Hwy, Suite 1a, Kill Devil Hills, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1902096886
- Provider Enumeration Date: 07/27/2007
- Last Update Date: 05/24/2023
Medical Identifiers
Medical identifiers for Ms Tristan Roderick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902096886 | NPI | - | NPPES |
| 6107203 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 1993 (North Carolina) | Primary |
| 103TC0700X | Psychologist - Clinical | 1993 (North Carolina) | Secondary |
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. Ms Tristan Roderick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Tristan Roderick, MA
3210 N Croatan Hwy, Suite 1a,
Kill Devil Hills, NC 27948
Ph: (252) 489-9750 | Ms Tristan Roderick, MA
3210 N Croatan Hwy, Suite 1a,
Kill Devil Hills, NC 27948
Ph: (252) 489-9750 |
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