William G Roth, PHD in Loma Linda, CA - Medicare Clinical Psychologist Provider

William G Roth, PHD is a medicare enrolled "Psychologist" provider in Loma Linda, California. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Faculty Physicians And Surgeons Of Llusm and his current practice location is 11374 Mountain View Ave, Suite A, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-4505.

William G Roth is licensed to practice in California (license number PSY10195) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154346849.

Contact Information

	William G Roth, PHD
	11374 Mountain View Ave, Suite A, Loma Linda, CA 92354-3830
	(909) 558-4505
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	William G Roth
Gender	Male
Speciality	Clinical Psychologist
Experience	38 Years
Location	11374 Mountain View Ave, Loma Linda, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

William G Roth graduated from medical school in 1986

NPI Data:

NPI Number: 1154346849
Provider Enumeration Date: 07/13/2006
Last Update Date: 09/24/2007

Medicare PECOS Information:

PECOS PAC ID: 4587738299
Enrollment ID: I20080729000642

Medical Identifiers

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

Identifier	Type	State	Issuer
1154346849	NPI	-	NPPES
PSY101950	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY10195 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1065

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. William G Roth allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. William G 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
William G Roth, PHD 54701 File Number, Los Angeles, CA 90074-4701 Ph: (909) 558-3111	William G Roth, PHD 11374 Mountain View Ave, Suite A, Loma Linda, CA 92354-3830 Ph: (909) 558-4505

Reviews and Comments

Psychologist in Loma Linda, CA

Dr. Krystal Gregg, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Deborah Elizabeth Kessel Tallungan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Behavioral Medicine Service (116a), Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Diane E. Bunker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Jerry L. Pettis Vamc, 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Tori R. Van Dyk, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11130 Anderson St, Loma Linda, CA 92350 Phone: 909-553-7412
Jonathan Patrick Dougherty, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
David A Vermeersch, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 11130 Anderson St, Ste 117, Loma Linda, CA 92354 Phone: 909-558-8706
Dorie-mae Nicolas, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11441 San Juan St, Loma Linda, CA 92354 Phone: 917-562-1885

William G Roth, PHD - Medicare Psychologist in Loma Linda, CA