Charles B Roth, is a
Physician Assistant based in Margaretville, New York. Charles B Roth is licensed to practice in New York (license number 000212) and his current practice location is
42084 State Highway 28, Margaretville, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 586-2631.
NPI number for Charles B Roth is 1679527956 and his current mailing address is 42084 State Highway 28, Margaretville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679527956.
Provider's Profile
| Full Name | Charles B Roth |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 42084 State Highway 28, Margaretville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679527956
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Charles B Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679527956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 000212 (New York) | Primary |
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. Charles B Roth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles B Roth,
42084 State Highway 28,
Margaretville, NY 12455-2820
Ph: (845) 586-2631 | Charles B Roth,
42084 State Highway 28,
Margaretville, NY 12455-2820
Ph: (845) 586-2631 |
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