Laura Roth, LPC in Whitelaw, WI - Medicare Counselor Provider

Laura Roth, LPC is a medicare enrolled "Counselor - Professional" provider in Whitelaw, Wisconsin. Her current practice location is 9003 Polifka Rd, Whitelaw, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 403-0021.

Laura Roth is licensed to practice in Wisconsin (license number 7989) 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 1558981043.

Contact Information

	Laura Roth, LPC
	9003 Polifka Rd, Whitelaw, WI 54247-9782
	(920) 403-0021
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Roth
Gender	Female
Speciality	Counselor - Professional
Location	9003 Polifka Rd, Whitelaw, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558981043
Provider Enumeration Date: 04/24/2020
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 4082055934
Enrollment ID: I20240509003454

Medical Identifiers

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

Identifier	Type	State	Issuer
1558981043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	7989 (Wisconsin)	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. Laura Roth allows following entities to bill medicare on her behalf.

Entity Name	County Of Sheboygan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477677615 PECOS PAC ID: 2567568918 Enrollment ID: O20080409000126

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. Laura 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
Laura Roth, LPC 9003 Polifka Rd, Whitelaw, WI 54247-9782 Ph: (920) 403-0021	Laura Roth, LPC 9003 Polifka Rd, Whitelaw, WI 54247-9782 Ph: (920) 403-0021

Reviews and Comments

Counselor in Whitelaw, WI

Ellen Cary, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021
Emily Koller Kunde, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021
Kathryn Heinzen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 262-707-6747
Miss Vanessa Marie Wright-cybela, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021

Laura Roth, LPC - Medicare Counselor in Whitelaw, WI