Dr Brian P Roth, MD is a medicare enrolled "Ophthalmology" physician in Moses Lake, Washington. He went to University Of Washington School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Columbia Basin Eye Clinic Ps and his current practice location is
1022 W Ivy Ave, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 765-7845.
Dr Brian P Roth is licensed to practice in Washington (license number MD00029599) 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 1649273889.
Physician's Profile
| Full Name | Dr Brian P Roth |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 32 Years |
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| Location | 1022 W Ivy Ave, Moses Lake, Washington |
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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:
- Dr Brian P Roth attended and graduated from University Of Washington School Of Medicine in 1992
NPI Data:
- NPI Number: 1649273889
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 08/18/2010
Medicare PECOS Information:
- PECOS PAC ID: 6204914260
- Enrollment ID: I20110221000495
Medical Identifiers
Medical identifiers for Dr Brian P Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649273889 | NPI | - | NPPES |
| 7729007 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | MD00029599 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Columbia Basin Eye Clinic Ps | 4183513435 | 3 |
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 Brian P Roth allows following entities to bill medicare on his behalf.
| Entity Name | Columbia Basin Eye Clinic Ps |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124159736
PECOS PAC ID: 4183513435
Enrollment ID: O20040313000509 |
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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. Dr Brian P 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 Brian P Roth, MD
1022 W Ivy Ave,
Moses Lake, WA 98837-4107
Ph: (509) 765-7845 | Dr Brian P Roth, MD
1022 W Ivy Ave,
Moses Lake, WA 98837-4107
Ph: (509) 765-7845 |
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