Justin Kent Roulston, DO - Medicare Emergency Medicine in Ada, OK

Justin Kent Roulston, DO is a medicare enrolled "Emergency Medicine" physician in Ada, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Chickasaw Nation Division Of Health and his current practice location is 1921 Stonecipher Blvd, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 421-4570.

Justin Kent Roulston is licensed to practice in Oklahoma (license number 5115) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407144728.

Contact Information

Justin Kent Roulston, DO
1921 Stonecipher Blvd,
Ada, OK 74820
(580) 421-4570
Not Available



Physician's Profile

Full NameJustin Kent Roulston
GenderMale
SpecialityEmergency Medicine
Experience14 Years
Location1921 Stonecipher Blvd, Ada, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Kent Roulston attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2010
  NPI Data:
  • NPI Number: 1407144728
  • Provider Enumeration Date: 07/20/2011
  • Last Update Date: 09/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4688840291
  • Enrollment ID: I20120103000733

Medical Identifiers

Medical identifiers for Justin Kent Roulston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407144728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5115 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chickasaw Nation Medical CenterAda, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chickasaw Nation Division Of Health8426957523209

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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. Justin Kent Roulston allows following entities to bill medicare on his behalf.
Entity NameChickasaw Nation Division Of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364923
PECOS PAC ID: 8426957523
Enrollment ID: O20040108000364

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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. Justin Kent Roulston 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
Justin Kent Roulston, DO
1921 Stonecipher Blvd,
Ada, OK 74820

Ph: (580) 421-4570
Justin Kent Roulston, DO
1921 Stonecipher Blvd,
Ada, OK 74820

Ph: (580) 421-4570

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Emergency Medicine Doctors in Ada, OK

Crystalle M Evans, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-421-4526    
Dr. Christopher Goodwill, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6283
Melissa Kathleen Colbert, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-421-3980    
Mr. Joshua Medved, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-421-4570    
Preston Hucks, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-421-4570    
Connie Marie Wilson, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-421-4570    
Kent Denson,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 905 Colony Dr, Ada, OK 74820
Phone: 580-436-5111    Fax: 580-272-5731

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