Mr Michael Andrew Roth, CAA is a medicare enrolled "Anesthesiologist Assistant" in Blue Springs, Missouri. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Florida Clinical Practice Association Inc and his current practice location is
201 Nw R D Mize Rd, Blue Springs, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 228-5900.
Mr Michael Andrew Roth is licensed to practice in Missouri (license number 2017017852) 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 1255860029.
Provider's Profile
| Full Name | Mr Michael Andrew Roth |
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| Gender | Male |
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| Speciality | Anesthesiology Assistant |
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| Experience | 7 Years |
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| Location | 201 Nw R D Mize Rd, Blue Springs, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Michael Andrew Roth graduated from nursing school in 2017
NPI Data:
- NPI Number: 1255860029
- Provider Enumeration Date: 06/06/2017
- Last Update Date: 12/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 7719250547
- Enrollment ID: I20220601002398
Medical Identifiers
Medical identifiers for Mr Michael Andrew Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255860029 | NPI | - | NPPES |
| 58303041 | Other | MO | BCBS KC |
| P02320854 | Other | MO | RAILROAD |
| 1255860029 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367H00000X | Anesthesiologist Assistant | 2017017852 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Florida Clinical Practice Association Inc | 0345146254 | 1622 |
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 Michael Andrew Roth allows following entities to bill medicare on his behalf.
| Entity Name | Florida Clinical Practice Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099 |
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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. Mr Michael Andrew 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 |
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Mr Michael Andrew Roth, CAA
3645 Nw Blue Jacket Dr,
Lees Summit, MO 64064-3017
Ph: () - | Mr Michael Andrew Roth, CAA
201 Nw R D Mize Rd,
Blue Springs, MO 64014-2513
Ph: (816) 228-5900 |
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