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ROELLE EUGENIO DO
NPI 1912460411
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment
50 N PERRY ST, PONTIAC, MI 48342(248) 338-5392(248) 338-5567 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roelle Eugenio Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROELLE EUGENIO DO (NPI 1912460411) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Hca Florida St Petersburg Hospital, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1912460411
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROELLE EUGENIOCredential: DO
Location Address50 N PERRY STPontiac, MI 48342-2217
Mailing Address50 N Perry StPontiac, MI 48342-2217 · (248) 338-5392 · Fax (248) 338-5567
Phone(248) 338-5392
Fax(248) 338-5567
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2019
Enumeration DateApril 11, 2019
✔ NPI 1912460411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
50 N PERRY ST, Pontiac, MI 48342
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roelle Eugenio Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234465733
PECOS Enrollment IDI20241206001188
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Roelle Eugenio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunshine State Anesthesia Partners LLC
1,045 mi
Anesthesiology
2020 59TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 792 clinicians in this Medicare group
NPI 1437757127 (888) 276-1910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THAMILARASI SUBRAMANIAN
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. CORY ERIC MANOOGIAN DO
Psychiatry & Neurology (Psychiatry)
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 384-8130
DR. ESSA HANNA HATTAR MD
Family Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5392
IMPACT ACO BILLING COMPANY LLC
Internal Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5516
ANDREW CHARLES ABIRAGI
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5300
MARTIN ANTONIO RIVERA
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
SHALIN R LASHKARI MSPT
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. MICHAEL CHRISTOPHER DETTLOFF D.O.
Emergency Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roelle Eugenio's NPI number?

The NPI number for Roelle Eugenio is 1912460411. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Roelle Eugenio located?

Roelle Eugenio practices at 50 N Perry St, Pontiac, MI 48342. The listed phone number is (248) 338-5392.

What is Roelle Eugenio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Roelle Eugenio enrolled in Medicare?

Yes. Roelle Eugenio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Roelle Eugenio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roelle Eugenio reassigns Medicare benefits to Sunshine State Anesthesia Partners LLC (Bradenton, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roelle Eugenio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Roelle Eugenio affiliated with any hospitals?

According to CMS data, Roelle Eugenio is affiliated with Hca Florida St Petersburg Hospital.

When was this NPI record last updated?

The NPPES record for Roelle Eugenio was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.