Karla Jean Roth, MD - Medicare Family Practice in De Pere, WI

  1. Home
  2. Family Medicine
  3. WI
  4. De Pere
Karla Jean Roth, MD is a medicare enrolled "Family Medicine" physician in De Pere, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and her current practice location is 3860 Monroe Rd, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Karla Jean Roth is licensed to practice in Wisconsin (license number 37108) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508890971.

Contact Information

Karla Jean Roth, MD
3860 Monroe Rd,
De Pere, WI 54115-8399
(920) 496-4700
(920) 431-1967

Map and Direction




Physician's Profile

Full NameKarla Jean Roth
GenderFemale
SpecialityFamily Practice
Experience32 Years
Location3860 Monroe Rd, De Pere, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karla Jean Roth attended and graduated from University Of Wisconsin School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1508890971
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 09/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8022006097
  • Enrollment ID: I20040506000438

Medical Identifiers

Medical identifiers for Karla Jean Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508890971NPI-NPPES
32183200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 37108 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Unity HospiceDe pere, WIHospice
St Vincent HospitalGreen bay, WIHospital
St Mary's Hospital Medical CenterGreen bay, WIHospital
Dickinson County Memorial HospitalIron mountain, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis5799694675546

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. Karla Jean Roth allows following entities to bill medicare on her behalf.
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689694911
PECOS PAC ID: 5799694675
Enrollment ID: O20040126000012
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameSt Mary's Hospital Medical Center Of Green Bay Inc-hospital Sisters
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649246877
PECOS PAC ID: 7719871268
Enrollment ID: O20040614000794
Entity NameSt Clare Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851477913
PECOS PAC ID: 0446211395
Enrollment ID: O20041023000037
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

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. Karla Jean 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 AddressPractice Location Address
Karla Jean Roth, MD
3860 Monroe Rd,
De Pere, WI 54115-8399

Ph: (920) 496-4700		Karla Jean Roth, MD
3860 Monroe Rd,
De Pere, WI 54115-8399

Ph: (920) 496-4700

Reviews and Comments


Family Medicine Doctors in De Pere, WI

Manisha Chaturvedi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1881 Chicago St, De Pere, WI 54115
Phone: 920-403-8000    
Lesley J Kieffer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Lawrence Dr, De Pere, WI 54115
Phone: 920-983-3220    
Dr. Scott M Stillwell, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Heritage Rd Ste A, De Pere, WI 54115
Phone: 920-605-3115    Fax: 920-486-6826
Stephen Raymond Perry, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3860 Monroe Rd, De Pere, WI 54115
Phone: 920-496-4700    Fax: 920-431-1967
Michael J Hodulik, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Lawrence Dr, De Pere, WI 54115
Phone: 920-983-3220    Fax: 920-983-3226
James J Joyce, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1716 Lawrence Dr, De Pere, WI 54115
Phone: 920-605-3115    Fax: 920-486-6826
Christine Ripp, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3860 Monroe Rd, De Pere, WI 54115
Phone: 920-496-4700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.