Mrs Renee Ann Roth, NP in Columbus, KS - Medicare Nurse Practitioner

Mrs Renee Ann Roth, NP is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Kansas. Her current practice location is 915 W Maple St, Columbus, Kansas. You can reach out to her office (for appointments etc.) via phone at (471) 310-9286.

Mrs Renee Ann Roth is licensed to practice in Kansas (license number 53-82256-022) 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 1831829068.

Contact Information

	Mrs Renee Ann Roth, NP
	915 W Maple St, Columbus, KS 66725-1508
	(471) 310-9286
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Renee Ann Roth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	915 W Maple St, Columbus, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831829068
Provider Enumeration Date: 06/11/2022
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 3375992142
Enrollment ID: I20231206001236

Medical Identifiers

Medical identifiers for Mrs Renee Ann Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831829068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	14-150198-022 (Kansas)	Secondary
363LF0000X	Nurse Practitioner - Family	53-82256-022 (Kansas)	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. Mrs Renee Ann Roth allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Of Kansas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780261701 PECOS PAC ID: 8628487998 Enrollment ID: O20210518000551

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 Renee Ann 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 Renee Ann Roth, NP 2699 Ne Lawton Rd, Columbus, KS 66725-2078 Ph: (620) 762-1081	Mrs Renee Ann Roth, NP 915 W Maple St, Columbus, KS 66725-1508 Ph: (471) 310-9286

Reviews and Comments

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Mrs Renee Ann Roth, NP - Medicare Nurse Practitioner in Columbus, KS