Kevin Howard Roth, LMFT,CAC is a medicare enrolled "Counselor - Mental Health" provider in Bryn Athyn, Pennsylvania. His current practice location is
885 Fetters Mill Road, Bryn Athyn, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 947-3413.
Kevin Howard Roth is licensed to practice in Pennsylvania (license number MF000126) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831123322.
Healthcare Provider's Profile
Full Name | Kevin Howard Roth |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 885 Fetters Mill Road, Bryn Athyn, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831123322
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 06/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 6204279631
- Enrollment ID: I20240213001401
Medical Identifiers
Medical identifiers for Kevin Howard Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831123322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MF000126 (Pennsylvania) | 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. Kevin Howard Roth allows following entities to bill medicare on his behalf.
Entity Name | Growth Opportunity Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649222761 PECOS PAC ID: 9335051085 Enrollment ID: O20031103000180 |
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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. Kevin Howard 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 |
Kevin Howard Roth, LMFT,CAC 885 Fetters Mill Road, Po Box 3, Bryn Athyn, PA 19009 Ph: (215) 947-3413 | Kevin Howard Roth, LMFT,CAC 885 Fetters Mill Road, Bryn Athyn, PA 19009 Ph: (215) 947-3413 |
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