Kimberly Lynn Roth, MA in Flowery Branch, GA - Medicare Counselor Provider

Kimberly Lynn Roth, MA is a medicare enrolled "Counselor" provider in Flowery Branch, Georgia. Her current practice location is 3584 Atlanta Highway, Flowery Branch, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 535-1050.

Kimberly Lynn Roth is licensed to practice in Georgia (license number LPC004836) 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 1942323100.

Contact Information

	Kimberly Lynn Roth, MA
	3584 Atlanta Highway, Flowery Branch, GA 30542
	(770) 535-1050
	(678) 943-8705

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Lynn Roth
Gender	Female
Speciality	Counselor
Location	3584 Atlanta Highway, Flowery Branch, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942323100
Provider Enumeration Date: 04/10/2007
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7911359344
Enrollment ID: I20240122000871

Medical Identifiers

Medical identifiers for Kimberly Lynn Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942323100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LPC004836 (Georgia)	Secondary
101YP2500X	Counselor - Professional	LPC004836 (Georgia)	Secondary
101Y00000X	Counselor	LPC004836 (Georgia)	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. Kimberly Lynn Roth allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Kimberly Lynn 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
Kimberly Lynn Roth, MA 3584 Atlanta Highway, Flowery Branch, GA 30542 Ph: (770) 535-1050	Kimberly Lynn Roth, MA 3584 Atlanta Highway, Flowery Branch, GA 30542 Ph: (770) 535-1050

Reviews and Comments

Counselor in Flowery Branch, GA

Sydney Hope Rosemore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6355 Spring Lake Dr, Flowery Branch, GA 30542 Phone: 678-488-1559
Dr. Barbara Wilson, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6439 Deep Woods Ct, Flowery Branch, GA 30542 Phone: 770-533-0759
Alana Marohnic, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmond Tanner Rd, Flowery Branch, GA 30542 Phone: 678-513-5700 Fax: 678-513-5836
Nilda Pyronneau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542 Phone: 678-513-5700
Dr. Elizabeth Schneider Felton, PH.D, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542 Phone: 678-513-5700
Mr. Ronald Wesson Moran Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6464 Flowery Way, Flowery Branch, GA 30542 Phone: 706-266-0578
Tony Castleberry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4816 Zephyr Cove Pl, Flowery Branch, GA 30542 Phone: 786-688-5367

Kimberly Lynn Roth, MA - Medicare Counselor in Flowery Branch, GA