Amanda Colleen Roth, in Cody, WY - Medicare Counselor Provider

Amanda Colleen Roth, is a medicare enrolled "Counselor - Professional" provider in Cody, Wyoming. Her current practice location is 956 12th St, Cody, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 751-5111.

Amanda Colleen Roth is licensed to practice in Wyoming (license number LPC-2124) 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 1861032724.

Contact Information

	Amanda Colleen Roth,
	956 12th St, Cody, WY 82414-3602
	(307) 751-5111
	(307) 587-4014

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Colleen Roth
Gender	Female
Speciality	Counselor - Professional
Location	956 12th St, Cody, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861032724
Provider Enumeration Date: 01/08/2020
Last Update Date: 01/21/2023

Medicare PECOS Information:

PECOS PAC ID: 1658718960
Enrollment ID: I20240322000434

Medical Identifiers

Medical identifiers for Amanda Colleen Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861032724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-2124 (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. Amanda Colleen Roth allows following entities to bill medicare on her behalf.

Entity Name	Amanda Roth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295448256 PECOS PAC ID: 0749627057 Enrollment ID: O20240322000382

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. Amanda Colleen 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
Amanda Colleen Roth, 326 34th St, Cody, WY 82414-9271 Ph: (307) 751-5111	Amanda Colleen Roth, 956 12th St, Cody, WY 82414-3602 Ph: (307) 751-5111

Reviews and Comments

Counselor in Cody, WY

Alexander Rettinghouse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 337 Robert St, Cody, WY 82414 Phone: 307-250-1224
Pamela Jaye Sinclair, MA, MS, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2538 Big Horn Ave, Cody, WY 82414 Phone: 307-587-2197
Zachary Monroe Quintanar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2538 Big Horn Ave, Cody, WY 82414 Phone: 307-587-2197
Ms. Maggi Jo Giraud, LMHP, LADC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Belfry Hwy, Cody, WY 82414 Phone: 307-586-3725
Fred A Snelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 Fax: 307-578-2492
Mr. Joshua B. Spinney, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1735 Sheridan Ave Ste 213, Cody, WY 82414 Phone: 810-625-3038
Melody Griebel, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3026 Hardpan Ave., Unit A, Cody, WY 82414 Phone: 307-216-0228

Amanda Colleen Roth, - Medicare Counselor in Cody, WY