Jerome K Roth Jr, MD in Sharon, CT

Jerome K Roth Jr, MD is a medicare enrolled "Urology" physician in Sharon, Connecticut. His current practice location is 17 Hospital Hill Rd, Sharon, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 364-0225.

Jerome K Roth Jr is licensed to practice in Connecticut (license number 019211) 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 1538132972.

Contact Information

	Jerome K Roth Jr, MD
	17 Hospital Hill Rd, Sharon, CT 06069
	(860) 364-0225
	(860) 364-1736

Map and Direction

Physician's Profile

Full Name	Jerome K Roth Jr
Gender	Male
Speciality	Urology
Location	17 Hospital Hill Rd, Sharon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538132972
Provider Enumeration Date: 02/08/2006
Last Update Date: 03/30/2016

Medicare PECOS Information:

PECOS PAC ID: 9133224645
Enrollment ID: I20110126000741

Medical Identifiers

Medical identifiers for Jerome K Roth Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538132972	NPI	-	NPPES
001192111	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	019211 (Connecticut)	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. Jerome K Roth Jr allows following entities to bill medicare on his behalf.

Entity Name	Nuvance Health Medical Practice Ct Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130

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. Jerome K Roth Jr 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
Jerome K Roth Jr, MD Po Box 1736, 17 Hospital Hill Rd, Sharon, CT 06069 Ph: (860) 364-0225	Jerome K Roth Jr, MD 17 Hospital Hill Rd, Sharon, CT 06069 Ph: (860) 364-0225

Jerome K Roth Jr, MD - Medicare Urology in Sharon, CT