Ricardo Roman Md Inc - Medicare Primary Care in Eagle Rock, CA

Ricardo Roman Md Inc is a medicare enrolled primary clinic (Internal Medicine) in Eagle Rock, California. The current practice location for Ricardo Roman Md Inc is 4708 Eagle Rock Blvd, Eagle Rock, California. For appointments, you can reach them via phone at (323) 254-3701. The mailing address for Ricardo Roman Md Inc is 4708 Eagle Rock Blvd, Eagle Rock, California and phone number is (323) 254-3701.

Ricardo Roman Md Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831462712. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 254-3701.

Contact Information

Ricardo Roman Md Inc
4708 Eagle Rock Blvd
Eagle Rock
CA 90041-2712
(323) 254-3701
Not Available

Primary Care Clinic Profile

Full NameRicardo Roman Md Inc
SpecialityInternal Medicine
Location4708 Eagle Rock Blvd, Eagle Rock, California
Authorized Official Name and PositionRicardo Roman (CEO)
Authorized Official Contact3232543701
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ricardo Roman Md Inc
4708 Eagle Rock Blvd
Eagle Rock
CA 90041-2712

Ph: (323) 254-3701
Ricardo Roman Md Inc
4708 Eagle Rock Blvd
Eagle Rock
CA 90041-2712

Ph: (323) 254-3701

NPI Details:

NPI Number1831462712
Provider Enumeration Date02/22/2012
Last Update Date04/04/2012

Medicare PECOS Information:

Medicare PECOS PAC ID2365606035
Medicare Enrollment IDO20120608000028

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Medical Identifiers

Medical identifiers for Ricardo Roman Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831462712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (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. Ricardo Roman Md Inc acts as a billing entity for following providers:
Provider NameRicardo Roman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144327032
PECOS PAC ID: 7719927045
Enrollment ID: I20050505001173

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Internal Medicine in Eagle Rock, CA

Jaga Medical Group Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1400 Colorado Blvd, A, Eagle Rock, CA 90041
Phone: 323-999-2250    Fax: 323-999-2241

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