Dr Mary Ellen Roth, OD - Medicare Optometrist in Canton, OH

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Dr Mary Ellen Roth, OD is a medicare enrolled "Optometrist" provider in Canton, Ohio. She went to Ohio State University - College Of Optometry and graduated in 1985 and has 39 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Belden Optometry Llc and her current practice location is 4157 Belden Village Mall, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 494-4140.

Dr Mary Ellen Roth is licensed to practice in Ohio (license number 3777) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1912065160.

Contact Information

Dr Mary Ellen Roth, OD
4157 Belden Village Mall,
Canton, OH 44718-2501
(330) 494-4140
(866) 425-2239

Map and Direction




Healthcare Provider's Profile

Full NameDr Mary Ellen Roth
GenderFemale
SpecialityOptometry
Experience39 Years
Location4157 Belden Village Mall, Canton, Ohio
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mary Ellen Roth attended and graduated from Ohio State University - College Of Optometry in 1985
  NPI Data:
  • NPI Number: 1912065160
  • Provider Enumeration Date: 12/04/2006
  • Last Update Date: 01/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2264474717
  • Enrollment ID: I20050525000723

Medical Identifiers

Medical identifiers for Dr Mary Ellen Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912065160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WC0802XOptometrist - Corneal And Contact Management 3777 (Ohio)Secondary
152W00000XOptometrist 3777 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Belden Optometry Llc67091615325

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 Mary Ellen Roth allows following entities to bill medicare on her behalf.
Provider NameDr. Richard E. Hults & Assoc., Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548482185
PECOS PAC ID: 3971544875
Enrollment ID: O20050520000694
Provider NameBelden Optometry Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972049716
PECOS PAC ID: 6709161532
Enrollment ID: O20170317001821
Provider NameSummit Family Vision Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962065672
PECOS PAC ID: 4688905003
Enrollment ID: O20191015003026

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 Mary Ellen 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 AddressPractice Location Address
Dr Mary Ellen Roth, OD
Po Box 880,
Hudson, OH 44236-5880

Ph: (330) 697-4748		Dr Mary Ellen Roth, OD
4157 Belden Village Mall,
Canton, OH 44718-2501

Ph: (330) 494-4140

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.