Anthony Tyler Roth, is a
Community Health Worker based in Roseville, California. Anthony Tyler Roth is licensed to practice in * (Not Available) (license number ) and his current practice location is
1148 Coloma Way, Apt 26-20, Roseville, California. He can be reached at his office (for appointments etc.) via phone at
(916) 774-6647.
NPI number for Anthony Tyler Roth is 1457078404 and his current mailing address is 1133 Coloma Way, Roseville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457078404.
Healthcare Provider's Profile
| Full Name | Anthony Tyler Roth |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1148 Coloma Way, Roseville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457078404
- Provider Enumeration Date: 10/20/2022
- Last Update Date: 10/30/2023
Medical Identifiers
Medical identifiers for Anthony Tyler Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457078404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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. Anthony Tyler Roth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Anthony Tyler Roth,
1133 Coloma Way,
Roseville, CA 95661-4480
Ph: (916) 774-6647 | Anthony Tyler Roth,
1148 Coloma Way, Apt 26-20,
Roseville, CA 95661-4480
Ph: (916) 774-6647 |
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