Courtney Ann Roth, is a medicare enrolled "Audiologist" provider in Hicksville, New York. Her current practice location is
73a E Old Country Rd, Hicksville, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 520-8736.
Courtney Ann Roth is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073178729.
Healthcare Provider's Profile
| Full Name | Courtney Ann Roth |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 73a E Old Country Rd, Hicksville, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073178729
- Provider Enumeration Date: 05/08/2019
- Last Update Date: 05/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 9931536562
- Enrollment ID: I20200220002176
Medical Identifiers
Medical identifiers for Courtney Ann Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073178729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (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. Courtney Ann Roth allows following entities to bill medicare on her behalf.
| Provider Name | Audiology Distribution Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164707998
PECOS PAC ID: 0840459103
Enrollment ID: O20120514000003 |
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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. Courtney Ann Roth 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 Address | Practice Location Address |
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Courtney Ann Roth,
8 Elderwood Ln,
Melville, NY 11747-1512
Ph: (631) 935-5388 | Courtney Ann Roth,
73a E Old Country Rd,
Hicksville, NY 11801-4200
Ph: (516) 520-8736 |
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