Rebecca Roth, is a medicare enrolled "Nurse Practitioner - Family" in West River, Maryland. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice One Medstar Primary Care Llc and her current practice location is
134 Owensville Rd, West River, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 867-4700.
Rebecca Roth is licensed to practice in Maryland (license number R235069) 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 1134603319.
Provider's Profile
Full Name | Rebecca Roth |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 134 Owensville Rd, West River, Maryland |
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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:
- Rebecca Roth graduated from nursing school in 2018
NPI Data:
- NPI Number: 1134603319
- Provider Enumeration Date: 09/24/2018
- Last Update Date: 10/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082049234
- Enrollment ID: I20211022001991
Medical Identifiers
Medical identifiers for Rebecca Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134603319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R235069 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
One Medstar Primary Care Llc | 0749607307 | 110 |
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. Rebecca Roth allows following entities to bill medicare on her behalf.
Entity Name | One Medstar Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417571530 PECOS PAC ID: 0749607307 Enrollment ID: O20200827000644 |
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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. Rebecca 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 |
Rebecca Roth, 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: (415) 658-6791 | Rebecca Roth, 134 Owensville Rd, West River, MD 20778-9702 Ph: (410) 867-4700 |
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