Diana Lynette Roth, in Pittsfield, IL - Medicare Nurse Practitioner

Diana Lynette Roth, is a medicare enrolled "Nurse Practitioner - Family" in Pittsfield, Illinois. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blessingcare Corporation and her current practice location is 640 W Washington St, Pittsfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 285-2113.

Diana Lynette Roth is licensed to practice in Illinois (license number 209015451) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1841736857.

Contact Information

	Diana Lynette Roth,
	640 W Washington St, Pittsfield, IL 62363-1350
	(217) 285-2113
	(217) 285-2989

Map and Direction

Provider's Profile

Full Name	Diana Lynette Roth
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	640 W Washington St, Pittsfield, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Diana Lynette Roth graduated from nursing school in 2015

NPI Data:

NPI Number: 1841736857
Provider Enumeration Date: 01/13/2017
Last Update Date: 01/13/2017

Medicare PECOS Information:

PECOS PAC ID: 7517242456
Enrollment ID: I20170316000875

Medical Identifiers

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

Identifier	Type	State	Issuer
1841736857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209015451 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Illini Community Hospital	Pittsfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blessingcare Corporation	2769420959	14

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. Diana Lynette Roth allows following entities to bill medicare on her behalf.

Entity Name	Blessingcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992038640 PECOS PAC ID: 2769420959 Enrollment ID: O20050419000684

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. Diana Lynette 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
Diana Lynette Roth, 103 Leland Lake Dr, Jacksonville, IL 62650-2690 Ph: (217) 883-0428	Diana Lynette Roth, 640 W Washington St, Pittsfield, IL 62363-1350 Ph: (217) 285-2113

Reviews and Comments

Nurse Practitioner Nurses in Pittsfield, IL

Jill A. Miller, N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-9447
Joanna Maureen Bunch, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 E Washington St, Pittsfield, IL 62363 Phone: 217-285-5080
Edwina Lynn Wilber, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 603 Clarksville Rd, Pittsfield, IL 62363 Phone: 217-285-6012
Mrs. Brittney Taylor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Washington St, Pittsfield, IL 62363 Phone: 217-285-5080
Mrs. Sherri Renee White, MSN, AGNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-2113 Fax: 217-285-9623
Jessica Nicole Boozer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 N Madison St, Pittsfield, IL 62363 Phone: 217-285-9601
Laura Hull, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-2113

Diana Lynette Roth, - Medicare Nurse Practitioner in Pittsfield, IL