Jeremy Bonn Roth, MD | |
7490 New Technology Way, Frederick, MD 21703-8370 | |
(240) 566-1600 | |
Not Available |
Full Name | Jeremy Bonn Roth |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 33 Years |
Location | 7490 New Technology Way, Frederick, Maryland |
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 |
---|---|---|---|
1346288628 | NPI | - | NPPES |
601285800 | Other | FECA | |
834910000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | D50052 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Petaluma Valley Hospital | Petaluma, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia And Analgesia Medical Group Inc | 1153316112 | 71 |
Entity Name | Anesthesia & Analgesia Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659320984 PECOS PAC ID: 1153316112 Enrollment ID: O20040419000685 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Bonn Roth, MD 913 Hillstead Dr, Lutherville, MD 21093-4748 Ph: () - | Jeremy Bonn Roth, MD 7490 New Technology Way, Frederick, MD 21703-8370 Ph: (240) 566-1600 |
Alexander Sass Rubin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6611 Hunter Trail Way, Frederick, MD 21702 Phone: 301-698-2438 | |
Dr. James Yeoun-uk Kim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7490 New Technology Way, Frederick, MD 21703 Phone: 240-566-1616 | |
Christian F Tischer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3300 | |
Jordanna Johnston, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7490 New Technology Way, Frederick, MD 21703 Phone: 240-566-1600 Fax: 240-566-1605 | |
Dr. Sana Shaikh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702 Phone: 301-668-9988 | |
Dr. Darrell Eugene Lewis, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702 Phone: 301-668-9988 Fax: 301-668-9977 | |
Dr. Sanjay K Vanguri, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3432 |