Dr Kenneth P Rottman, DDS is a medicare enrolled "Dentist - General Practice" provider in Long Beach, Indiana. His current practice location is
2933 Lake Shore Dr, Long Beach, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 874-1076.
Dr Kenneth P Rottman is licensed to practice in Indiana (license number 12009645A) 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 1891091161.
Healthcare Provider's Profile
Full Name | Dr Kenneth P Rottman |
---|
Gender | Male |
---|
Speciality | Dentist - General Practice |
---|
Location | 2933 Lake Shore Dr, Long Beach, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891091161
- Provider Enumeration Date: 02/04/2011
- Last Update Date: 02/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 2163720640
- Enrollment ID: I20160418000251
Medical Identifiers
Medical identifiers for Dr Kenneth P Rottman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891091161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12009645A (Indiana) | 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. Dr Kenneth P Rottman 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 |
Dr Kenneth P Rottman, DDS 2933 Lake Shore Dr, Long Beach, IN 46360-1705 Ph: (219) 874-1076 | Dr Kenneth P Rottman, DDS 2933 Lake Shore Dr, Long Beach, IN 46360-1705 Ph: (219) 874-1076 |
Reviews and Comments