Mr Kevin Roa, PMHNP - Medicare Nurse Practitioner in Las Vegas, NV

Mr Kevin Roa, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Las Vegas, Nevada. His current practice location is 620 S Tonopah Dr, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 413-1391.

Mr Kevin Roa is licensed to practice in Nevada (license number 857971) 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 1609597392.

Contact Information

Mr Kevin Roa, PMHNP
620 S Tonopah Dr,
Las Vegas, NV 89106-4029
(702) 413-1391
(702) 413-1392



Physician's Profile

Full NameMr Kevin Roa
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location620 S Tonopah Dr, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609597392
  • Provider Enumeration Date: 09/09/2022
  • Last Update Date: 06/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991174179
  • Enrollment ID: I20221209001603

Medical Identifiers

Medical identifiers for Mr Kevin Roa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609597392NPI-NPPES
1760195796MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 857971 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 857971 (Nevada)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. Mr Kevin Roa allows following entities to bill medicare on his behalf.
Entity NameEugene Rosenman Md Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265568703
PECOS PAC ID: 9436181237
Enrollment ID: O20050831000971

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Entity NameLuis Carlos O Ortega
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760195796
PECOS PAC ID: 2062886617
Enrollment ID: O20230707002947

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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. Mr Kevin Roa 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
Mr Kevin Roa, PMHNP
2775 S Jones Blvd Ste 101,
Las Vegas, NV 89146-5632

Ph: (702) 685-3300
Mr Kevin Roa, PMHNP
620 S Tonopah Dr,
Las Vegas, NV 89106-4029

Ph: (702) 413-1391

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