Mark A Roman, DMD FAGD in Addison, NY - Medicare Dentist Provider

Mark A Roman, DMD FAGD is a medicare enrolled "Dentist" provider in Addison, New York. His current practice location is 138 Front Street, Addison, New York. You can reach out to his office (for appointments etc.) via phone at (607) 359-3367.

Mark A Roman is licensed to practice in New York (license number 42738-11) 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 1598920472.

Contact Information

	Mark A Roman, DMD FAGD
	138 Front Street, Addison, NY 14801
	(607) 359-3367
	(607) 359-3399

Healthcare Provider's Profile

Full Name	Mark A Roman
Gender	Male
Speciality	Dentist
Location	138 Front Street, Addison, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598920472
Provider Enumeration Date: 07/21/2008
Last Update Date: 08/20/2008

Medicare PECOS Information:

PECOS PAC ID: 4688972987
Enrollment ID: I20160420001337

Medical Identifiers

Medical identifiers for Mark A Roman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598920472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	42738-11 (New York)	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. Mark A Roman 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
Mark A Roman, DMD FAGD 138 Front Street, Addison, NY 14801 Ph: (607) 359-3367	Mark A Roman, DMD FAGD 138 Front Street, Addison, NY 14801 Ph: (607) 359-3367

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Dentist in Addison, NY

Michael F Ferchaw, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 138 Front Street, Addison, NY 14801
Phone: 607-359-3367 Fax: 607-359-3399

Mark A Roman, DMD FAGD - Medicare Dentist in Addison, NY