Dr Brandon Ian Roth, MD | |
18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | |
(480) 563-6400 | |
(480) 563-8009 |
Full Name | Dr Brandon Ian Roth |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 9 Years |
Location | 18555 N 79th Ave Ste D101, Glendale, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568849990 | NPI | - | NPPES |
007126 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 60636 (Arizona) | Primary |
207L00000X | Anesthesiology | 60636 (Arizona) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bhsm Rehabilitation Llc | 2062773138 | 1355 |
Arizona Spine And Pain Specialists Llc | 7214251396 | 23 |
Entity Name | Arizona Pain Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700030939 PECOS PAC ID: 2668536418 Enrollment ID: O20090123000125 |
Entity Name | Arizona Spine And Pain Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336552140 PECOS PAC ID: 7214251396 Enrollment ID: O20150120001820 |
Mailing Address | Practice Location Address |
---|---|
Dr Brandon Ian Roth, MD Po Box 6408, Scottsdale, AZ 85261-6408 Ph: (480) 563-6400 | Dr Brandon Ian Roth, MD 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 Ph: (480) 563-6400 |
Sara Lynn Grubor, FNP Pain Medicine Medicare: Medicare Enrolled Practice Location: 7200 W Bell Rd Ste F101, Glendale, AZ 85308 Phone: 602-795-8700 | |
Dr. Michael Allen Castillo, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5310 W Thunderbird Rd Ste 215, Glendale, AZ 85306 Phone: 602-242-9891 Fax: 602-242-9895 | |
Kent Vosler, D.O Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 16222 N 59th Ave, Suite A100, Glendale, AZ 85306 Phone: 623-334-4000 Fax: 623-334-4400 |