Dr Bradley Paul Roth, MD is a medicare enrolled "Emergency Medicine" physician in Chewelah, Washington. His current practice location is
500 E Webster Ave, Chewelah, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 935-8211.
Dr Bradley Paul Roth is licensed to practice in Washington (license number MD.MD.61457059) 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 1265061493.
Physician's Profile
Full Name | Dr Bradley Paul Roth |
---|
Gender | Male |
---|
Speciality | Emergency Medicine |
---|
Location | 500 E Webster Ave, Chewelah, Washington |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265061493
- Provider Enumeration Date: 04/08/2020
- Last Update Date: 09/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294155024
- Enrollment ID: I20231110002497
Medical Identifiers
Medical identifiers for Dr Bradley Paul Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265061493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | MD.MD.61457059 (Washington) | Secondary |
207P00000X | Emergency Medicine | MD.MD.61457059 (Washington) | Primary |
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. Dr Bradley Paul Roth allows following entities to bill medicare on his behalf.
Entity Name | Providence Health & Services - Washington |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1841442332 PECOS PAC ID: 3577623115 Enrollment ID: O20090130000176 |
---|
Entity Name | Providence Health & Services - Wa |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1902058399 PECOS PAC ID: 9739249350 Enrollment ID: O20090318000512 |
---|
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 Bradley Paul 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 |
Dr Bradley Paul Roth, MD 500 E Webster Ave, Chewelah, WA 99109-9523 Ph: (509) 935-8211 | Dr Bradley Paul Roth, MD 500 E Webster Ave, Chewelah, WA 99109-9523 Ph: (509) 935-8211 |
Reviews and Comments