Ryan L Roth, APRN is a medicare enrolled "Nurse Practitioner" provider in Higganum, Connecticut. Her current practice location is
415 Killingworth Rd, Higganum, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 345-8535.
Ryan L Roth is licensed to practice in Connecticut (license number 5832) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225453517.
Healthcare Provider's Profile
Full Name | Ryan L Roth |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 415 Killingworth Rd, Higganum, Connecticut |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ryan L Roth attended and graduated from in
NPI Data:
- NPI Number: 1225453517
- Provider Enumeration Date: 02/24/2014
- Last Update Date: 10/17/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ryan L Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225453517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 994473 (Connecticut) | Secondary |
163W00000X | Registered Nurse | RN2284731 (Massachusetts) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5832 (Connecticut) | Secondary |
363L00000X | Nurse Practitioner | 5832 (Connecticut) | 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. Ryan L 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 |
Ryan L Roth, APRN 500 Albany Ave, Hartford, CT 06120-2508 Ph: (860) 249-9625 | Ryan L Roth, APRN 415 Killingworth Rd, Higganum, CT 06441-4370 Ph: (860) 345-8535 |
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