Shawn Christopher Roth, in Long Beach, CA - Medicare Physical Therapist Provider

Shawn Christopher Roth, is a medicare enrolled "Physical Therapist" provider in Long Beach, California. His current practice location is 1035 E Marshall Pl, Long Beach, California. You can reach out to his office (for appointments etc.) via phone at (951) 202-4785.

Shawn Christopher Roth is licensed to practice in California (license number PT38671) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790061000.

Contact Information

	Shawn Christopher Roth,
	1035 E Marshall Pl, Long Beach, CA 90807-3619
	(951) 202-4785
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shawn Christopher Roth
Gender	Male
Speciality	Physical Therapist
Location	1035 E Marshall Pl, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790061000
Provider Enumeration Date: 10/31/2011
Last Update Date: 05/19/2023

Medicare PECOS Information:

PECOS PAC ID: 8224295597
Enrollment ID: I20120130000519

Medical Identifiers

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

Identifier	Type	State	Issuer
1790061000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	PT38671 (California)	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. Shawn Christopher Roth allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Shawn Christopher 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
Shawn Christopher Roth, 3165 Sawtelle Blvd Apt 315, Los Angeles, CA 90066-1421 Ph: (951) 202-4785	Shawn Christopher Roth, 1035 E Marshall Pl, Long Beach, CA 90807-3619 Ph: (951) 202-4785

Reviews and Comments

Physical Therapist in Long Beach, CA

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Shawn Christopher Roth, - Medicare Physical Therapist in Long Beach, CA