Miss Emily Ann Roth, MA in Indianapolis, IN - Medicare Psychologist Provider

Miss Emily Ann Roth, MA is a medicare enrolled "Psychologist - Clinical" provider in Indianapolis, Indiana. Her current practice location is 355 W 16th St, Suite 2800, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 963-7308.

Miss Emily Ann Roth is licensed to practice in Indiana (license number 20043113A) 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 1437504883.

Contact Information

	Miss Emily Ann Roth, MA
	355 W 16th St, Suite 2800, Indianapolis, IN 46202-2207
	(317) 963-7308
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Emily Ann Roth
Gender	Female
Speciality	Psychologist - Clinical
Location	355 W 16th St, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437504883
Provider Enumeration Date: 05/03/2016
Last Update Date: 02/05/2020

Medicare PECOS Information:

PECOS PAC ID: 8729336417
Enrollment ID: I20180813003208

Medical Identifiers

Medical identifiers for Miss Emily Ann Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437504883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	000 (* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	20043113A (Indiana)	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. Miss Emily Ann Roth allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Miss Emily Ann 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
Miss Emily Ann Roth, MA 250 N Shadeland Ave Ste 200, Indianapolis, IN 46219-4959 Ph: (317) 962-3834	Miss Emily Ann Roth, MA 355 W 16th St, Suite 2800, Indianapolis, IN 46202-2207 Ph: (317) 963-7308

Reviews and Comments

Psychologist in Indianapolis, IN

Dr. Jennifer Holzman, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 70 E 91st St Ste 210, Indianapolis, IN 46240 Phone: 317-573-0149
Dr. Sarah A Landsberger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 355 W 16th St, Indianapolis, IN 46202 Phone: 317-963-7300 Fax: 317-963-7325
Dr. William D. Alexy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N. Meridian, W.dr, Indianapolis, IN 46208 Phone: 317-255-3729 Fax: 317-255-3729
Dr. Yelena Chernyak, PH.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Room Uh 3240, Indianapolis, IN 46202 Phone: 317-944-7422 Fax: 317-944-1497
Tami S Krichiver, PSYD, HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208
Brigid R Marriott, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202 Phone: 317-944-8162 Fax: 317-948-0609
Dr. Lisa B Brown, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6284 Rucker Rd, Suite N, Indianapolis, IN 46220 Phone: 317-475-1389 Fax: 317-475-9089

Miss Emily Ann Roth, MA - Medicare Psychologist in Indianapolis, IN