Dr Melinda-ann B Roth, MD | |
540 Jermor Ln Ste A, Westminster, MD 21157-6490 | |
(410) 871-3025 | |
Not Available |
Full Name | Dr Melinda-ann B Roth |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 540 Jermor Ln Ste A, Westminster, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811922867 | NPI | - | NPPES |
253003100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | D0037535 (Maryland) | Primary |
Entity Name | Foundational Health Restoration Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841879145 PECOS PAC ID: 4385053172 Enrollment ID: O20210506003123 |
Mailing Address | Practice Location Address |
---|---|
Dr Melinda-ann B Roth, MD 644 Cockeys Mill Rd, Reisterstown, MD 21136-5116 Ph: (410) 833-8205 | Dr Melinda-ann B Roth, MD 540 Jermor Ln Ste A, Westminster, MD 21157-6490 Ph: (410) 871-3025 |
Akil Shomari Benjamin, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 826 Washington Rd Ste 210&102, Westminster, MD 21157 Phone: 855-527-7246 Fax: 866-229-5063 | |
Corbin Schmucker, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 844 Washington Rd Ste 101, Westminster, MD 21157 Phone: 410-876-5600 | |
Melanie Connor, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2108 Walsh Drive, Westminster, MD 21157 Phone: 443-244-3854 |