Mr Jay Edward Roth, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Mr Jay Edward Roth, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Philadelphia, Pennsylvania. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Vital Healthcare Solutions and his current practice location is 706 S 11th St, #3b, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 913-7381.

Mr Jay Edward Roth is licensed to practice in Pennsylvania (license number SP010741) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851615066.

Contact Information

	Mr Jay Edward Roth, CRNP
	706 S 11th St, #3b, Philadelphia, PA 19147-1968
	(215) 913-7381
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jay Edward Roth
Gender	Male
Speciality	Nurse Practitioner
Experience	15 Years
Location	706 S 11th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jay Edward Roth graduated from nursing school in 2009

NPI Data:

NPI Number: 1851615066
Provider Enumeration Date: 03/16/2010
Last Update Date: 03/16/2010

Medicare PECOS Information:

PECOS PAC ID: 5890828305
Enrollment ID: I20100804001077

Medical Identifiers

Medical identifiers for Mr Jay Edward Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851615066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP010741 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vital Healthcare Solutions	3274830336	83

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. Mr Jay Edward Roth allows following entities to bill medicare on his behalf.

Entity Name	Medop Behavioral Health Associates Of Pennsylvania Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740516293 PECOS PAC ID: 9032252416 Enrollment ID: O20100208000144

Entity Name	Vital Healthcare Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659736957 PECOS PAC ID: 3274830336 Enrollment ID: O20160405000879

Entity Name	Meditelecare Of Pennsylvania Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396351847 PECOS PAC ID: 8527488030 Enrollment ID: O20201022002321

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. Mr Jay Edward 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
Mr Jay Edward Roth, CRNP 706 S 11th St, #3b, Philadelphia, PA 19147-1968 Ph: (215) 913-7381	Mr Jay Edward Roth, CRNP 706 S 11th St, #3b, Philadelphia, PA 19147-1968 Ph: (215) 913-7381

Reviews and Comments

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Mr Jay Edward Roth, CRNP - Medicare Nurse Practitioner in Philadelphia, PA