Dr Adele M Roth, MD | |
2900 Frank Scott Pkwy W, Suite 980, Belleville, IL 62223-5000 | |
(618) 234-9200 | |
(618) 234-3940 |
Full Name | Dr Adele M Roth |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 42 Years |
Location | 2900 Frank Scott Pkwy W, Belleville, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750480356 | NPI | - | NPPES |
036069016 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036069016 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 104 |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Mailing Address | Practice Location Address |
---|---|
Dr Adele M Roth, MD 2900 Frank Scott Pkwy W Ste 980, Belleville, IL 62223-5000 Ph: (618) 234-9200 | Dr Adele M Roth, MD 2900 Frank Scott Pkwy W, Suite 980, Belleville, IL 62223-5000 Ph: (618) 234-9200 |
Wallace K Abel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 W Lincoln St Ste 200, Belleville, IL 62220 Phone: 618-234-2566 Fax: 618-234-5650 | |
Dr. Shannon Erin Witty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St Ste 400, Belleville, IL 62220 Phone: 618-233-7880 | |
Naveen Kumar Reddy Bondalapati, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-3066 Fax: 618-257-6679 | |
David J Nyquist, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679 | |
Niraj J Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226 Phone: 618-767-7000 | |
Brett Allen Nance, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St, Suite 400, Belleville, IL 62220 Phone: 618-233-7880 Fax: 618-222-4792 | |
Rosanne L Sutter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 |