Jennifer D Roth, PA - Medicare Physician Assistant in Glen Cove, NY

Jennifer D Roth, PA is a medicare enrolled "Physician Assistant" in Glen Cove, New York. Her current practice location is 104 Forest Ave, Glen Cove, New York. You can reach out to her office (for appointments etc.) via phone at (516) 759-5406.

Jennifer D Roth is licensed to practice in New York (license number 009096) 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 1063636280.

Contact Information

Jennifer D Roth, PA
104 Forest Ave,
Glen Cove, NY 11542-2015
(516) 759-5406
Not Available

Map and Direction




Provider's Profile

Full NameJennifer D Roth
GenderFemale
SpecialityPhysician Assistant
Location104 Forest Ave, Glen Cove, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063636280
  • Provider Enumeration Date: 04/11/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7517261357
  • Enrollment ID: I20160215001983

Medical Identifiers

Medical identifiers for Jennifer D Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063636280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 009096 (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. Jennifer D 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 AddressPractice Location Address
Jennifer D Roth, PA
4626 217th St,
Bayside, NY 11361-3530

Ph: () -
Jennifer D Roth, PA
104 Forest Ave,
Glen Cove, NY 11542-2015

Ph: (516) 759-5406

Reviews and Comments


Physician Assistant Nurses in Glen Cove, NY

Jaclyn Teresco, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 104 Forest Ave, Glen Cove, NY 11542
Phone: 516-759-5406    
Kaitlyn Krause,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 104 Forest Ave, Glen Cove, NY 11542
Phone: 516-759-5406    
Gregory Cassella, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 68 Elm Ave, Glen Cove, NY 11542
Phone: 516-417-7329    
Ms. Kerri A Sujeski, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 104 Forest Avenue, Glen Cove, NY 11542
Phone: 516-759-5406    Fax: 516-759-5537
Sarah Miriam Mulhern, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542
Phone: 516-674-7300    
Mr. William Szabo, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542
Phone: 516-674-7591    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.