William G Roth, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Venice, Florida. His current practice location is
446 Tamiami Trl S, 2nd Floor, Venice, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 483-3319.
William G Roth is licensed to practice in Florida (license number ME53084) 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 1124027362.
Physician's Profile
Full Name | William G Roth |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 446 Tamiami Trl S, Venice, Florida |
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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: 1124027362
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 07/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 0345381950
- Enrollment ID: I20100805000171
Medical Identifiers
Medical identifiers for William G Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124027362 | NPI | - | NPPES |
250574600 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZC0500X | Pathology - Cytopathology | ME53084 (Florida) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME53084 (Florida) | Primary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | ME53084 (Florida) | Secondary |
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. William G Roth allows following entities to bill medicare on his behalf.
Entity Name | Suncoast Pathology |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487601233 PECOS PAC ID: 2264573872 Enrollment ID: O20100105000247 |
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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. William G 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 |
William G Roth, MD 446 Tamiami Trl S, 2nd Floor, Venice, FL 34285-2625 Ph: (941) 483-3319 | William G Roth, MD 446 Tamiami Trl S, 2nd Floor, Venice, FL 34285-2625 Ph: (941) 483-3319 |
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