Dr Charita Lequisse Roque, MD, MPH - Medicare Obstetrics/gynecology in Baltimore, MD

Dr Charita Lequisse Roque, MD, MPH is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Baltimore, Maryland. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Western Michigan University School Of Medicine and her current practice location is 4940 Eastern Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 550-0336.

Dr Charita Lequisse Roque is licensed to practice in Maryland (license number D89575) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487002002.

Contact Information

Dr Charita Lequisse Roque, MD, MPH
4940 Eastern Ave,
Baltimore, MD 21224-2735
(410) 550-0336
(410) 550-0196



Physician's Profile

Full NameDr Charita Lequisse Roque
GenderFemale
SpecialityObstetrics/gynecology
Experience8 Years
Location4940 Eastern Ave, Baltimore, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Charita Lequisse Roque graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1487002002
  • Provider Enumeration Date: 05/25/2016
  • Last Update Date: 09/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385064625
  • Enrollment ID: I20220829003618

Medical Identifiers

Medical identifiers for Dr Charita Lequisse Roque such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487002002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VX0201XObstetrics & Gynecology - Gynecologic Oncology D89575 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Western Michigan University School Of Medicine751711395467

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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. Dr Charita Lequisse Roque allows following entities to bill medicare on her behalf.
Entity NameWestern Michigan University School Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316212343
PECOS PAC ID: 7517113954
Enrollment ID: O20120817000243

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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. Dr Charita Lequisse Roque 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
Dr Charita Lequisse Roque, MD, MPH
6201 Greenleigh Ave,
Middle River, MD 21220-2004

Ph: (410) 933-6423
Dr Charita Lequisse Roque, MD, MPH
4940 Eastern Ave,
Baltimore, MD 21224-2735

Ph: (410) 550-0336

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Obstetrics & Gynecology Doctors in Baltimore, MD

Miss Elizabeth Unique Morris, MSN, WHNP-BC
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 330 N Howard St, Baltimore, MD 21201
Phone: 410-576-1414    
Christine E. O Connor, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 227 Saint Paul St, 6th Floor, Baltimore, MD 21202
Phone: 410-332-9002    Fax: 410-783-5880
Fateh Hraky Sr.,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3001 S Hanover St, Suite 301, Baltimore, MD 21225
Phone: 410-350-0800    
Joyce A Bonsu, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3449 Wilkens Ave Ste 305, Baltimore, MD 21229
Phone: 410-644-2582    Fax: 410-644-6232
Fouad M Abbas,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2411 W Belvedere Ave, Suite 206, Baltimore, MD 21215
Phone: 410-601-9030    
Dr. Ginny M Merryman, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6569 N Charles St, Suite 501, Baltimore, MD 21204
Phone: 410-938-8960    Fax: 410-583-9770
Dr. Golsa Mirmiran Yazdy, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4940 Eastern Ave Bldg A1, Baltimore, MD 21224
Phone: 410-550-0337    Fax: 410-550-0196

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