Dr Alicia Jan Roth, PHD in Cleveland, OH - Medicare Clinical Psychologist Provider

Dr Alicia Jan Roth, PHD is a medicare enrolled "Psychologist - Clinical" provider in Cleveland, Ohio. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Cleveland Clinic Foundation and her current practice location is 9500 Euclid Ave # S73, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 444-2165.

Dr Alicia Jan Roth is licensed to practice in Ohio (license number P.08032) 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 1285260356.

Contact Information

	Dr Alicia Jan Roth, PHD
	9500 Euclid Ave # S73, Cleveland, OH 44195-0001
	(216) 444-2165
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alicia Jan Roth
Gender	Female
Speciality	Clinical Psychologist
Experience	8 Years
Location	9500 Euclid Ave # S73, Cleveland, Ohio
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:

Dr Alicia Jan Roth graduated from medical school in 2016

NPI Data:

NPI Number: 1285260356
Provider Enumeration Date: 03/20/2020
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 8820415433
Enrollment ID: I20200827002475

Medical Identifiers

Medical identifiers for Dr Alicia Jan Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285260356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	P.08032 (Ohio)	Primary
103TC0700X	Psychologist - Clinical	PY10596 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cleveland Clinic	Cleveland, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cleveland Clinic Foundation	1850203555	5680

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. Dr Alicia Jan Roth allows following entities to bill medicare on her behalf.

Entity Name	The Cleveland Clinic Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049

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. Dr Alicia Jan 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
Dr Alicia Jan Roth, PHD 9500 Euclid Ave # S73, Cleveland, OH 44195-0001 Ph: () -	Dr Alicia Jan Roth, PHD 9500 Euclid Ave # S73, Cleveland, OH 44195-0001 Ph: (216) 444-2165

Reviews and Comments

Psychologist in Cleveland, OH

Dr. Frank Kenner, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Ruth Mclatchie, PSY. S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5311 Mound Ave, Cleveland, OH 44105 Phone: 216-990-3288
Dr. Brianne Markley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Cleveland Clinic Mellen Center 9500 Euclid Avenue - U10, Cleveland, OH 44195 Phone: 216-444-8600
Scott M Bea, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Dr. Robert L Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-5790
Dr. Amy Burleson Sullivan, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: The Cleveland Clinic, 9500 Euclid Ave/u10, Cleveland, OH 44195 Phone: 216-444-5376
Shannon Ciriello, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3817 Martin Luther King Jr Dr, Cleveland, OH 44105 Phone: 216-491-5700 Fax: 216-295-4645

Dr Alicia Jan Roth, PHD - Medicare Psychologist in Cleveland, OH