Mr Eric G Roman, NP - Medicare Clinical Nurse Specialist in Evanston, WY

Mr Eric G Roman, NP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Evanston, Wyoming. His current practice location is 831 Highway 150 S, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 789-3464.

Mr Eric G Roman is licensed to practice in Wyoming (license number 25318.1148) 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 1700157948.

Contact Information

Mr Eric G Roman, NP
831 Highway 150 S,
Evanston, WY 82930-5340
(307) 789-3464
(307) 789-7373



Provider's Profile

Full NameMr Eric G Roman
GenderMale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health
Location831 Highway 150 S, Evanston, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700157948
  • Provider Enumeration Date: 01/19/2012
  • Last Update Date: 03/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4385804863
  • Enrollment ID: I20120320000659

Medical Identifiers

Medical identifiers for Mr Eric G Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700157948NPI-NPPES
25318.1148OtherWYLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 25318.1148 (Wyoming)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 Eric G Roman allows following entities to bill medicare on his behalf.
Entity NameState Of Wyoming
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316011562
PECOS PAC ID: 4587552583
Enrollment ID: O20040728001439

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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 Eric G 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
Mr Eric G Roman, NP
831 Highway 150 S, P.o. Box 177,
Evanston, WY 82930-5340

Ph: (307) 789-3464
Mr Eric G Roman, NP
831 Highway 150 S,
Evanston, WY 82930-5340

Ph: (307) 789-3464

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Clinical Nurse Specialist Nurses in Evanston, WY

James Patrick Fleenor, ANP
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 831 Highway 150 S, Evanston, WY 82930
Phone: 307-789-3464    Fax: 307-789-7373
Tamara Sue Bach, FNP-BC
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 195 Feather Way Ste 100, Evanston, WY 82930
Phone: 307-200-9200    Fax: 307-200-4808
Marisha Lee Vanvleet, APRN-CNP, PMHNP-BC
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 724 Front St Ste 404, Evanston, WY 82930
Phone: 307-288-2328    Fax: 307-448-4606

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