Chelsea Roth, FNP in Vernal, UT - Medicare Nurse Practitioner

Chelsea Roth, FNP is a medicare enrolled "Nurse Practitioner" in Vernal, Utah. Her current practice location is 150 W 100 N # N-101, Vernal, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 781-6300.

Chelsea Roth is licensed to practice in Utah (license number 8202085-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811625239.

Contact Information

	Chelsea Roth, FNP
	150 W 100 N # N-101, Vernal, UT 84078-2036
	(435) 781-6300
	(435) 781-6301

Map and Direction

Provider's Profile

Full Name	Chelsea Roth
Gender	Female
Speciality	Nurse Practitioner
Location	150 W 100 N # N-101, Vernal, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811625239
Provider Enumeration Date: 08/12/2022
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 7113374836
Enrollment ID: I20231116002927

Medical Identifiers

Medical identifiers for Chelsea Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811625239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	8202085-4405 (Utah)	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. Chelsea Roth allows following entities to bill medicare on her behalf.

Entity Name	Ashley Valley Physician Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740482025 PECOS PAC ID: 4284683947 Enrollment ID: O20050119001166

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062

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. Chelsea 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
Chelsea Roth, FNP 2458 W 630 N, Vernal, UT 84078-4855 Ph: (435) 630-4100	Chelsea Roth, FNP 150 W 100 N # N-101, Vernal, UT 84078-2036 Ph: (435) 781-6300

Reviews and Comments

Nurse Practitioner Nurses in Vernal, UT

Mr. Alec Higgins Rimmasch Jr., NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 N 100 W Ste 104, Vernal, UT 84078 Phone: 435-781-3053 Fax: 435-781-3055
Kathleen Marie Riordan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 W 100 N Ste N103, Vernal, UT 84078 Phone: 435-421-1514
Sarah Jane Woody, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 379 N 500 W Ste 1a, Vernal, UT 84078 Phone: 435-789-1165
Mrs. Ashley Lynn Russell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 872 W Highway 40, Vernal, UT 84078 Phone: 435-781-8899
Amy Olsen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 379 N 500 W Ste 1a, Vernal, UT 84078 Phone: 435-789-1165 Fax: 435-789-1169
Mr. Eric Reynolds, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1680 W Highway 40 Ste 201, Vernal, UT 84078 Phone: 801-429-2000
Mrs. Laura Lynn Mahler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 266 W 100 N, Suite 6, Vernal, UT 84078 Phone: 435-789-0064 Fax: 435-789-0537

Chelsea Roth, FNP - Medicare Nurse Practitioner in Vernal, UT