Michael Roman, MD - Medicare Student in an Organized Health Care Education/Training Program in Stamford, CT

Michael Roman, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Stamford, Connecticut. His current practice location is 9 W Broad St Ste 3, Stamford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 208-9129.

Michael Roman is licensed to practice in * (Not Available) (license number ) 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 1346745254.

Contact Information

Michael Roman, MD
9 W Broad St Ste 3,
Stamford, CT 06902-3734
(203) 208-9129
(210) 756-7100



Physician's Profile

Full NameMichael Roman
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location9 W Broad St Ste 3, Stamford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346745254
  • Provider Enumeration Date: 03/24/2018
  • Last Update Date: 03/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385027044
  • Enrollment ID: I20220815000042

Medical Identifiers

Medical identifiers for Michael Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346745254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 471474 (Pennsylvania)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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. Michael Roman allows following entities to bill medicare on his behalf.
Entity NameMccd Psychiatry Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033750823
PECOS PAC ID: 4082049036
Enrollment ID: O20220223000161

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Entity NameMccd Fl Psychiatry Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659003457
PECOS PAC ID: 4880064070
Enrollment ID: O20230123002638

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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. Michael 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 AddressPractice Location Address
Michael Roman, MD
9 W Broad St Ste 3,
Stamford, CT 06902-3734

Ph: (203) 208-9129
Michael Roman, MD
9 W Broad St Ste 3,
Stamford, CT 06902-3734

Ph: (203) 208-9129

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