Dr Leslie Aileen Roth, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Providence, Rhode Island. She graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice University Surgical Associates, Inc., University Surgical Associates, Inc. and her current practice location is
208 Collyer St, Suite 302, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 553-8312.
Dr Leslie Aileen Roth is licensed to practice in Rhode Island (license number MD12703) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386764785.
Physician's Profile
Full Name | Dr Leslie Aileen Roth |
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Gender | Female |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 23 Years |
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Location | 208 Collyer St, Providence, Rhode Island |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Leslie Aileen Roth graduated from medical school in 2002
NPI Data:
- NPI Number: 1386764785
- Provider Enumeration Date: 03/30/2007
- Last Update Date: 01/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739248584
- Enrollment ID: I20081107000369
Medical Identifiers
Medical identifiers for Dr Leslie Aileen Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386764785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD429123 (Pennsylvania) | Secondary |
208C00000X | Colon & Rectal Surgery | MD12703 (Rhode Island) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Surgical Associates, Inc. | 4082503032 | 96 |
University Surgical Associates, Inc. | 4082503032 | 96 |
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 Leslie Aileen Roth allows following entities to bill medicare on her behalf.
Entity Name | University Surgical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376589895 PECOS PAC ID: 4082503032 Enrollment ID: O20040818001275 |
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Entity Name | Lifespan Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
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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 Leslie Aileen 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 Leslie Aileen Roth, MD Po Box 16149, Rumford, RI 02916-0697 Ph: (401) 453-9625 | Dr Leslie Aileen Roth, MD 208 Collyer St, Suite 302, Providence, RI 02904-1560 Ph: (401) 553-8312 |
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