Dr John G Roth, MD | |
177 Burt Rd, Lexington, KY 40503-2410 | |
(859) 276-1511 | |
(859) 276-3373 |
Full Name | Dr John G Roth |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 37 Years |
Location | 177 Burt Rd, Lexington, Kentucky |
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 |
---|---|---|---|
1134193212 | NPI | - | NPPES |
64286479 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | 28647 (Kentucky) | Primary |
207N00000X | Dermatology | 28647 (Kentucky) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Modern Dermatology Of Kentucky Llc | 5496166308 | 14 |
Entity Name | Kentucky Dermatology And Skin Cancer Clinic, Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831310390 PECOS PAC ID: 3274529185 Enrollment ID: O20040423001297 |
Entity Name | Modern Dermatology Of Kentucky Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699382507 PECOS PAC ID: 5496166308 Enrollment ID: O20201125001868 |
Mailing Address | Practice Location Address |
---|---|
Dr John G Roth, MD 177 Burt Rd, Lexington, KY 40503-2410 Ph: (859) 276-1511 | Dr John G Roth, MD 177 Burt Rd, Lexington, KY 40503-2410 Ph: (859) 276-1511 |
Charlie Becknell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 250 Fountain Ct, Lexington, KY 40509 Phone: 859-263-4444 Fax: 859-254-1814 | |
Leigh Ann Carter Beard, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 715 Shaker Dr Ste 132, Lexington, KY 40504 Phone: 859-288-5004 Fax: 859-288-5007 | |
Dr. Dana Black, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3475 Richmond Rd, Suite 200, Lexington, KY 40509 Phone: 859-296-4400 Fax: 859-296-4300 | |
Dr. Sean A Marzolf, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 250 Fountain Ct, Lexington, KY 40509 Phone: 859-263-4444 Fax: 859-263-6781 | |
Dr. Tandy Sutton Repass, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3475 Richmond Rd Ste 200, Lexington, KY 40509 Phone: 859-296-4400 | |
Dr. Clifton Smith, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 177 Burt Rd, Lexington, KY 40503 Phone: 859-276-1511 Fax: 859-276-3373 | |
Deborah K Phillips, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4071 Tates Creek Centre Dr Ste 202, Lexington, KY 40517 Phone: 859-226-0206 |