Mrs Sandra Elaine Roth, NP is a
Nurse Practitioner - Women's Health based in Monterey, Indiana. Mrs Sandra Elaine Roth is licensed to practice in Indiana (license number 7100817A) and her current practice location is
6194 E Main St, Monterey, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 542-2552.
NPI number for Mrs Sandra Elaine Roth is 1619034592 and her current mailing address is 701 N Monticello St, Winamac, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619034592.
Provider's Profile
Full Name | Mrs Sandra Elaine Roth |
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Gender | Female |
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Speciality | Nurse Practitioner - Women's Health |
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Location | 6194 E Main St, Monterey, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619034592
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Sandra Elaine Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619034592 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LW0102X | Nurse Practitioner - Women's Health | 7100817A (Indiana) | 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. Mrs Sandra Elaine Roth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Sandra Elaine Roth, NP 701 N Monticello St, Winamac, IN 46996-1138 Ph: (574) 946-4315 | Mrs Sandra Elaine Roth, NP 6194 E Main St, Monterey, IN 46960-9297 Ph: (574) 542-2552 |
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