Ms Stacey Ann Roth, LPC is a medicare enrolled "Counselor - Professional" provider in House Springs, Missouri. Her current practice location is
5800 Ash Spgs, House Springs, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 971-5797.
Ms Stacey Ann Roth is licensed to practice in Missouri (license number 2005028635) 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 1659359800.
Healthcare Provider's Profile
Full Name | Ms Stacey Ann Roth |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 5800 Ash Spgs, House Springs, Missouri |
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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: 1659359800
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 06/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173971603
- Enrollment ID: I20231122001089
Medical Identifiers
Medical identifiers for Ms Stacey Ann Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659359800 | NPI | - | NPPES |
497513705 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2005028635 (Missouri) | Secondary |
171M00000X | Case Manager/care Coordinator | 2005028635 (Missouri) | Secondary |
101YP2500X | Counselor - Professional | 2005028635 (Missouri) | 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. Ms Stacey Ann Roth allows following entities to bill medicare on her behalf.
Entity Name | Compass Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
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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. Ms Stacey Ann 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 |
Ms Stacey Ann Roth, LPC 5800 Ash Spgs, House Springs, MO 63051-3654 Ph: (314) 971-5797 | Ms Stacey Ann Roth, LPC 5800 Ash Spgs, House Springs, MO 63051-3654 Ph: (314) 971-5797 |
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