Dr Joseph C Roth, DO is a medicare enrolled "Family Medicine" physician in Delton, Michigan. His current practice location is
11320 S. M 43 Hwy, Delton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 623-5121.
Dr Joseph C Roth is licensed to practice in Michigan (license number 5101008288) 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 1124120597.
Physician's Profile
Full Name | Dr Joseph C Roth |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 11320 S. M 43 Hwy, Delton, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124120597
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 11/19/2011
Medicare PECOS Information:
- PECOS PAC ID: 8224007737
- Enrollment ID: I20041012001081
Medical Identifiers
Medical identifiers for Dr Joseph C Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124120597 | NPI | - | NPPES |
1124120597 | Other | | NPI |
371573958 | Other | MI | TAX ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 5101008288 (Michigan) | 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 Joseph C Roth allows following entities to bill medicare on his behalf.
Entity Name | Ascension Medical Group Promed |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
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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 Joseph C 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 Joseph C Roth, DO 11320 S. M 43 Hwy., Delton, MI 49046-9259 Ph: (269) 623-5521 | Dr Joseph C Roth, DO 11320 S. M 43 Hwy, Delton, MI 49046-9259 Ph: (269) 623-5121 |
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