Jeana L Roth, MA, LPC in Urbana, IL - Medicare Counselor Provider

Jeana L Roth, MA, LPC is a medicare enrolled "Counselor - Mental Health" provider in Urbana, Illinois. Her current practice location is 1503 Montgomery St, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (636) 489-4822.

Jeana L 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 1629682612.

Contact Information

	Jeana L Roth, MA, LPC
	1503 Montgomery St, Urbana, IL 61802-4742
	(636) 489-4822
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeana L Roth
Gender	Female
Speciality	Counselor - Mental Health
Location	1503 Montgomery St, Urbana, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629682612
Provider Enumeration Date: 09/07/2020
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6507207172
Enrollment ID: I20240514001447

Medical Identifiers

Medical identifiers for Jeana L Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629682612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2018139123 (Missouri)	Secondary
101YM0800X	Counselor - Mental Health	(* (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. Jeana L Roth allows following entities to bill medicare on her behalf.

Entity Name	Kevin Elliott Counseling Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255357422 PECOS PAC ID: 0143226860 Enrollment ID: O20061019000433

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. Jeana L 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
Jeana L Roth, MA, LPC 4171 Crescent Dr Ste 202, Saint Louis, MO 63129-3645 Ph: (636) 489-4822	Jeana L Roth, MA, LPC 1503 Montgomery St, Urbana, IL 61802-4742 Ph: (636) 489-4822

Reviews and Comments

Counselor in Urbana, IL

Nancy Suzanne Neukomm, CADC, LCPC, NCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 E University Ave, Suite A, Urbana, IL 61802 Phone: 217-841-5622 Fax: 217-367-1058
Mr. Stephen Lee Busick, MASTER OF ARTS IN CO Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 W Green Street, The Christian Counseling Center, Urbana, IL 61801 Phone: 217-337-1700 Fax: 217-337-1713
Wanda Raquel Ortiz Hernandez, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 2001 Philo Rd, Urbana, IL 61802 Phone: 217-552-1211
Paula Barickman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 718 W Killarney St, Urbana, IL 61801 Phone: 217-328-4500
Atiyya N Thompson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Philo Rd, Urbana, IL 61802 Phone: 217-398-9066 Fax: 217-398-9077
Michael Grant Scott, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2001 Philo Rd, Urbana, IL 61802 Phone: 217-398-9066 Fax: 217-398-9077
Jennea Aileen Klingenberg, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1709 Trails Dr, Urbana, IL 61802 Phone: 773-842-9520

Jeana L Roth, MA, LPC - Medicare Counselor in Urbana, IL