Dr Justin Stephan Roth, DO | |
3399 E Louise Dr Ste 200, Meridian, ID 83642-5212 | |
(208) 706-2663 | |
Not Available |
Full Name | Dr Justin Stephan Roth |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 12 Years |
Location | 3399 E Louise Dr Ste 200, Meridian, Idaho |
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 |
---|---|---|---|
1306109954 | NPI | - | NPPES |
500746847 | Medicaid | OR | |
187405 | Other | OR | OREGON MEDICAL BOARD |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Stephan Roth, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Justin Stephan Roth, DO 3399 E Louise Dr Ste 200, Meridian, ID 83642-5212 Ph: (208) 706-2663 |
Jesse Dylan Chlebeck, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way, Meridian, ID 83642 Phone: 208-463-3000 | |
William Daniel Bradley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2960 E. St. Lukes St., Ste. 200, Meridian, ID 83642 Phone: 208-992-5212 Fax: 208-992-5452 | |
Dr. Jonathon Curtis Wolf, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 200b, Meridian, ID 83642 Phone: 208-563-0001 Fax: 208-563-0777 | |
Louis Horst Poppler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-364-3000 | |
Mikayla Lynn Taugher, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2365 E Gala St Ste 1, Meridian, ID 83642 Phone: 208-515-2654 | |
Dr. Paul Calvin Collins, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3875 E Overland Rd, Meridian, ID 83642 Phone: 208-287-0203 Fax: 208-288-5490 |