Jenna Elizabeth Roller, PA-C - Medicare Physician Assistant in Hilton Head, SC

Jenna Elizabeth Roller, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Hilton Head, South Carolina. Her current practice location is 15 Moss Creek Vlg, Hilton Head, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 681-5077.

Jenna Elizabeth Roller is licensed to practice in Maryland (license number C0004965) 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 1548509052.

Contact Information

Jenna Elizabeth Roller, PA-C
15 Moss Creek Vlg,
Hilton Head, SC 29926-1105
(843) 681-5077
(843) 681-5012



Physician's Profile

Full NameJenna Elizabeth Roller
GenderFemale
SpecialityPhysician Assistant - Surgical
Location15 Moss Creek Vlg, Hilton Head, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548509052
  • Provider Enumeration Date: 02/04/2013
  • Last Update Date: 03/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6901043058
  • Enrollment ID: I20180504001761

Medical Identifiers

Medical identifiers for Jenna Elizabeth Roller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548509052NPI-NPPES
11011359OtherNCCPA
C0004965OtherMARYLAND BOARD OF PHYSICIANS
2950OtherSCSC PA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 2950 (South Carolina)Secondary
363AS0400XPhysician Assistant - Surgical C0004965 (Maryland)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. Jenna Elizabeth Roller 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
Jenna Elizabeth Roller, PA-C
7419 Kimbark Ct, Apt. E,
Rosedale, MD 21237-3736

Ph: (610) 417-0273
Jenna Elizabeth Roller, PA-C
15 Moss Creek Vlg,
Hilton Head, SC 29926-1105

Ph: (843) 681-5077

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