Dr Mark Allan Roth, MD in Southfield, MI - Medicare Internal Medicine

Dr Mark Allan Roth, MD is a medicare enrolled "Internal Medicine" physician in Southfield, Michigan. His current practice location is 26715 Greenfield Rd, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (216) 870-0974.

Dr Mark Allan Roth is licensed to practice in Michigan (license number 4301109169) 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 1801998893.

Contact Information

	Dr Mark Allan Roth, MD
	26715 Greenfield Rd, Southfield, MI 48076-4717
	(216) 870-0974
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mark Allan Roth
Gender	Male
Speciality	Internal Medicine
Location	26715 Greenfield Rd, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801998893
Provider Enumeration Date: 09/01/2006
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 3870574999
Enrollment ID: I20220126001282

Medical Identifiers

Medical identifiers for Dr Mark Allan Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801998893	NPI	-	NPPES
0463430	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301109169 (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 Mark Allan Roth allows following entities to bill medicare on his behalf.

Entity Name	Michigan Post-acute Medical Services 1 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669901567 PECOS PAC ID: 2163798877 Enrollment ID: O20171025001292

Entity Name	Mi Pacs 2 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205418357 PECOS PAC ID: 2264831577 Enrollment ID: O20210518002473

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 Mark Allan 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 Mark Allan Roth, MD 25223 Prairie Dr, Southfield, MI 48075-2076 Ph: () -	Dr Mark Allan Roth, MD 26715 Greenfield Rd, Southfield, MI 48076-4717 Ph: (216) 870-0974

Reviews and Comments

Internal Medicine Doctors in Southfield, MI

Surinder Mendiratta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield Rd, Suite 502, Southfield, MI 48075 Phone: 248-395-2888 Fax: 248-395-2891
Dr. Freddy R Sosa, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 703, Southfield, MI 48075 Phone: 248-569-1770 Fax: 248-443-2439
Kun Kil Yu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19189 W 10 Mile Rd, Ste 200, Southfield, MI 48075 Phone: 248-948-7985 Fax: 248-948-9031
Dr. Vilma Drelichman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075 Phone: 248-552-0620 Fax: 248-552-0286
Dr. Sumner Camisa, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29829 Telegraph Road, #100, Southfield, MI 48034 Phone: 248-355-3033 Fax: 248-355-4936
Talal Taher Khader, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 4th Fl Fisher Ctr, Southfield, MI 48075 Phone: 248-849-8483
Dr. Herman Kado, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034 Phone: 248-587-2300 Fax: 248-945-0492

Dr Mark Allan Roth, MD - Medicare Internal Medicine in Southfield, MI