Anthony Roach, PC-IT, SW - Medicare Counselor in Brown Deer, WI

Anthony Roach, PC-IT, SW is a medicare enrolled "Counselor - Professional" provider in Brown Deer, Wisconsin. His current practice location is 3900 W Brown Deer Rd, Ste 200, Brown Deer, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 540-2170.

Anthony Roach is licensed to practice in Wisconsin (license number 1281-226) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083968200.

Contact Information

Anthony Roach, PC-IT, SW
3900 W Brown Deer Rd, Ste 200,
Brown Deer, WI 53209-1220
(414) 540-2170
(414) 540-2171

Healthcare Provider's Profile

Full NameAnthony Roach
GenderMale
SpecialityCounselor - Professional
Location3900 W Brown Deer Rd, Brown Deer, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083968200
  • Provider Enumeration Date: 11/09/2012
  • Last Update Date: 11/09/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9537510391
  • Enrollment ID: I20240105003918

Medical Identifiers

Medical identifiers for Anthony Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083968200NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 1281-226 (Wisconsin)Primary
104100000XSocial Worker 7196-120 (Wisconsin)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. Anthony Roach allows following entities to bill medicare on his behalf.
Entity NameShorehaven Behavioral Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598800740
PECOS PAC ID: 0143324954
Enrollment ID: O20070404000380

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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. Anthony Roach 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
Anthony Roach, PC-IT, SW
3900 W Brown Deer Rd, Ste 200,
Brown Deer, WI 53209-1220

Ph: (414) 540-2170
Anthony Roach, PC-IT, SW
3900 W Brown Deer Rd, Ste 200,
Brown Deer, WI 53209-1220

Ph: (414) 540-2170

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Counselor in Brown Deer, WI

Kyle Egerdal,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209
Phone: 414-540-2170    
Zoe Faivre Werth, M.S.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209
Phone: 414-540-2170    Fax: 414-540-2171
Virginia G Livingston, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 7646 N Teutonia Ave, Brown Deer, WI 53209
Phone: 414-979-2155    
Jenna Mohelnitzky, LCSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209
Phone: 414-540-2170    
Ms. Wendy Ann Diehls, APSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209
Phone: 414-540-2170    Fax: 414-540-2171
Ms. Kristin Ann Johnson, MS LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209
Phone: 414-540-2170    Fax: 414-540-2171
Ramona Lewis, CADC III
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8200 W Brown Deer Rd, Suite 300a, Brown Deer, WI 53223
Phone: 414-362-8147    Fax: 414-362-7198

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