Sydney Roth, PA-C in Hazel Crest, IL - Medicare Physician Assistant

Sydney Roth, PA-C is a medicare enrolled "Physician Assistant" in Hazel Crest, Illinois. Her current practice location is 17850 Kedzie Ave Ste 2200, Hazel Crest, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 575-4411.

Sydney Roth is licensed to practice in Illinois (license number 085.009611) 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 1598450793.

Contact Information

	Sydney Roth, PA-C
	17850 Kedzie Ave Ste 2200, Hazel Crest, IL 60429-2056
	(708) 575-4411
	(708) 799-8001

Map and Direction

Provider's Profile

Full Name	Sydney Roth
Gender	Female
Speciality	Physician Assistant
Location	17850 Kedzie Ave Ste 2200, Hazel Crest, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598450793
Provider Enumeration Date: 04/05/2023
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0547620262
Enrollment ID: I20230713000575

Medical Identifiers

Medical identifiers for Sydney Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598450793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085.009611 (Illinois)	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. Sydney 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
Sydney Roth, PA-C 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900	Sydney Roth, PA-C 17850 Kedzie Ave Ste 2200, Hazel Crest, IL 60429-2056 Ph: (708) 575-4411

Reviews and Comments

Physician Assistant Nurses in Hazel Crest, IL

Mark Ambrose, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3330 W 177th St, Suite 3e, Hazel Crest, IL 60429 Phone: 708-206-0010 Fax: 708-206-0020
Ethan Hoeldtke, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17850 Kedzie Ave Ste 1150, Hazel Crest, IL 60429 Phone: 877-692-8686
Nicholas Bila, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000
Natalie Ann Noonan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3330 W 177th St Ste 1a, Hazel Crest, IL 60429 Phone: 708-799-1100 Fax: 708-647-6503
Joseph Gawlak, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000

Sydney Roth, PA-C - Medicare Physician Assistant in Hazel Crest, IL