Evelyn Roth, is a medicare enrolled "Family Medicine" in Irvine, California. Her current practice location is
15785 Laguna Canyon Rd Ste 125, Irvine, California. You can reach out to her office (for appointments etc.) via phone at
(866) 542-2865.
Evelyn Roth is licensed to practice in California (license number NP95008456) 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 1548751969.
Provider's Profile
Full Name | Evelyn Roth |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 15785 Laguna Canyon Rd Ste 125, Irvine, California |
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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: 1548751969
- Provider Enumeration Date: 05/21/2018
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547507279
- Enrollment ID: I20200522001503
Medical Identifiers
Medical identifiers for Evelyn Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548751969 | NPI | - | NPPES |
NP95008456 | Other | CA | CA BRN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 814703 (California) | Secondary |
207Q00000X | Family Medicine | NP95008456 (California) | 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. Evelyn Roth allows following entities to bill medicare on her behalf.
Entity Name | Complete Women Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376569830 PECOS PAC ID: 5092742320 Enrollment ID: O20050719000618 |
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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. Evelyn 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 |
Evelyn Roth, 15785 Laguna Canyon Rd Ste 125, Irvine, CA 92618-3140 Ph: (866) 542-2865 | Evelyn Roth, 15785 Laguna Canyon Rd Ste 125, Irvine, CA 92618-3140 Ph: (866) 542-2865 |
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