Justin Michael Roth, LCSW in Tampa, FL - Medicare Clinical Social Worker Provider

Justin Michael Roth, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tampa, Florida. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice A And R Psychiatric And Mental Health Services, Llc, Refresh Canopy Cove, Inc and his current practice location is 550 N Reo St, Suite 300, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (303) 817-8953.

Justin Michael Roth is licensed to practice in Florida (license number SW 9914) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790096626.

Contact Information

	Justin Michael Roth, LCSW
	550 N Reo St, Suite 300, Tampa, FL 33609-1061
	(303) 817-8953
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Justin Michael Roth
Gender	Male
Speciality	Clinical Social Worker
Experience	16 Years
Location	550 N Reo St, Tampa, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Justin Michael Roth graduated from medical school in 2008

NPI Data:

NPI Number: 1790096626
Provider Enumeration Date: 06/25/2010
Last Update Date: 03/23/2016

Medicare PECOS Information:

PECOS PAC ID: 4082871777
Enrollment ID: I20120208000495

Medical Identifiers

Medical identifiers for Justin Michael Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790096626	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW 9914 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
A And R Psychiatric And Mental Health Services, Llc	0547427239	2
Refresh Canopy Cove, Inc	3779822119	97

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. Justin Michael Roth allows following entities to bill medicare on his behalf.

Entity Name	A And R Psychiatric And Mental Health Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306114301 PECOS PAC ID: 0547427239 Enrollment ID: O20120208000441

Entity Name	Intellihealth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942658802 PECOS PAC ID: 7618264664 Enrollment ID: O20160920000891

Entity Name	Refresh Canopy Cove, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354

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. Justin Michael 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
Justin Michael Roth, LCSW 550 N Reo St, Suite 300, Tampa, FL 33609-1061 Ph: (303) 817-8953	Justin Michael Roth, LCSW 550 N Reo St, Suite 300, Tampa, FL 33609-1061 Ph: (303) 817-8953

Reviews and Comments

Social Worker in Tampa, FL

Darlene H Allen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5707 N 22nd St, Tampa, FL 33610 Phone: 813-239-8000 Fax: 813-272-3766
Bryant C Barbour, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4422 E Columbus Dr., Tampa, FL 33605 Phone: 813-384-4079
Ms. Clarissia Brown, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2021 Busch Blvd, Tampa, FL 33612 Phone: 813-631-4370 Fax: 813-631-4399
Sasha J Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 N Gomez Ave, Tampa, FL 33609 Phone: 813-787-1623
Jennifer Faith Gobeli, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8905 Regents Park Dr Ste 230, Tampa, FL 33647 Phone: 727-314-5468
Ms. Linda L Mann, LCSW, CAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4422 E Columbus Dr, Tampa, FL 33605 Phone: 813-980-3866 Fax: 813-984-8374
Amy Lynn Abdnour, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 S Hoover Blvd Ste 185, Tampa, FL 33609 Phone: 813-679-3845

Justin Michael Roth, LCSW - Medicare Clinical Social Worker in Tampa, FL