Ava Roth, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Greenville, South Carolina. Her current practice location is
701 Grove Rd, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 455-5198.
Ava Roth is licensed to practice in * (Not Available) (license number ) 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 1972208932.
Physician's Profile
Full Name | Ava Roth |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 701 Grove Rd, Greenville, South Carolina |
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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: 1972208932
- Provider Enumeration Date: 03/31/2023
- Last Update Date: 07/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668836800
- Enrollment ID: I20230906004273
Medical Identifiers
Medical identifiers for Ava Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972208932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | LL89913 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ava 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 |
Ava Roth, 701 Grove Rd, Greenville, SC 29605-4210 Ph: () - | Ava Roth, 701 Grove Rd, Greenville, SC 29605-4210 Ph: (864) 455-5198 |
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