Douglas A Roth, MD is a medicare enrolled "Plastic Surgery" physician in Mount Kisco, New York. He went to New York University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Optum Medical Care Pc and his current practice location is
90 S Bedford Rd, Mount Kisco Medical Group, Pc, Mount Kisco, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 241-1050.
Douglas A Roth is licensed to practice in New York (license number 186557) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205873924.
Physician's Profile
| Full Name | Douglas A Roth |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 34 Years |
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| Location | 90 S Bedford Rd, Mount Kisco, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Douglas A Roth attended and graduated from New York University School Of Medicine in 1990
NPI Data:
- NPI Number: 1205873924
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 07/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 5890726400
- Enrollment ID: I20050823001173
Medical Identifiers
Medical identifiers for Douglas A Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205873924 | NPI | - | NPPES |
| 01921351 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 186557 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Optum Medical Care Pc | 9931013240 | 961 |
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. Douglas A Roth allows following entities to bill medicare on his behalf.
| Entity Name | Optum Medical Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321 |
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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. Douglas A 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 |
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Douglas A Roth, MD
110 S Bedford Rd, Mount Kisco Medical Group, Pc,
Mount Kisco, NY 10549-3446
Ph: (914) 241-1050 | Douglas A Roth, MD
90 S Bedford Rd, Mount Kisco Medical Group, Pc,
Mount Kisco, NY 10549-3412
Ph: (914) 241-1050 |
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