Tina Marie Roth, is a
Counselor - Addiction (substance Use Disorder) based in Harrod, Ohio. Tina Marie Roth is licensed to practice in Ohio (license number 173780) and her current practice location is
815 N Phillips Rd, Harrod, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 231-4530.
NPI number for Tina Marie Roth is 1386268787 and her current mailing address is 815 N Phillips Rd, Harrod, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386268787.
Healthcare Provider's Profile
Full Name | Tina Marie Roth |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 815 N Phillips Rd, Harrod, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386268787
- Provider Enumeration Date: 06/01/2020
- Last Update Date: 06/01/2020
Medical Identifiers
Medical identifiers for Tina Marie Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386268787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 173780 (Ohio) | Primary |
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. Tina Marie Roth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tina Marie Roth, 815 N Phillips Rd, Harrod, OH 45850-9448 Ph: (419) 231-4530 | Tina Marie Roth, 815 N Phillips Rd, Harrod, OH 45850-9448 Ph: (419) 231-4530 |
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