Mrs Michelle L Roth, PA in Peoria, IL - Medicare Physician Assistant

Mrs Michelle L Roth, PA is a medicare enrolled "Physician Assistant" in Peoria, Illinois. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Soderstrom Dermatology Center S C., Soderstrom Dermatology Center S C. and her current practice location is 4909 N Glen Park Place Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 674-7546.

Mrs Michelle L Roth is licensed to practice in Illinois (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477743813.

Contact Information

	Mrs Michelle L Roth, PA
	4909 N Glen Park Place Rd, Peoria, IL 61614-4676
	(309) 674-7546
	(309) 282-0500

Map and Direction

Provider's Profile

Full Name	Mrs Michelle L Roth
Gender	Female
Speciality	Physician Assistant
Experience	17 Years
Location	4909 N Glen Park Place Rd, Peoria, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Michelle L Roth graduated from nursing school in 2007

NPI Data:

NPI Number: 1477743813
Provider Enumeration Date: 08/01/2007
Last Update Date: 08/01/2007

Medicare PECOS Information:

PECOS PAC ID: 8123115821
Enrollment ID: I20071026000752

Medical Identifiers

Medical identifiers for Mrs Michelle L Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477743813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital
St Mary Medical Center	Galesburg, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Soderstrom Dermatology Center S C.	2062432651	29
Soderstrom Dermatology Center S C.	2062432651	29

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. Mrs Michelle L 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
Mrs Michelle L Roth, PA 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546	Mrs Michelle L Roth, PA 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546

Reviews and Comments

Physician Assistant Nurses in Peoria, IL

Ms. Courtney M Jaegle, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606 Phone: 309-672-4670 Fax: 309-672-4669
Jacob Clark, Physician Assistant Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Natalie Patty, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700
Rob Wimmer, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898
Abigail Rose Sutton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 Fax: 309-676-5045
Josie Cathryn Jepson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 N Missouri Ave, Peoria, IL 61603 Phone: 309-308-3350
Richard S Seaboch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5405 N Knoxville Ave, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830

Mrs Michelle L Roth, PA - Medicare Physician Assistant in Peoria, IL