Dr Marlene Margaret Roth, MD is a medicare enrolled "Pediatrics" physician in Beverly Hills, Michigan. Her current practice location is
31815 Southfield Rd, Suite 14, Beverly Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 644-2700.
Dr Marlene Margaret Roth is licensed to practice in Michigan (license number 4301067678) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053574954.
Physician's Profile
Full Name | Dr Marlene Margaret Roth |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 31815 Southfield Rd, Beverly Hills, 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: 1053574954
- Provider Enumeration Date: 07/10/2008
- Last Update Date: 03/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 9234356312
- Enrollment ID: I20140813002176
Medical Identifiers
Medical identifiers for Dr Marlene Margaret Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053574954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 4301067678 (Michigan) | Primary |
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 Marlene Margaret 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 Marlene Margaret Roth, MD 31815 Southfield Rd Ste 10, Beverly Hills, MI 48025-5471 Ph: (248) 644-2700 | Dr Marlene Margaret Roth, MD 31815 Southfield Rd, Suite 14, Beverly Hills, MI 48025-5471 Ph: (248) 644-2700 |
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