Dr Jacob B Roth, PHD in Crofton, MD - Medicare Clinical Psychologist Provider

Dr Jacob B Roth, PHD is a medicare enrolled "Psychologist" provider in Crofton, Maryland. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 2110 Priest Bridge Dr, Suite 4, Crofton, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 858-9880.

Dr Jacob B Roth is licensed to practice in Maryland (license number 1194) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1326080730.

Contact Information

	Dr Jacob B Roth, PHD
	2110 Priest Bridge Dr, Suite 4, Crofton, MD 21114-2472
	(301) 858-9880
	(410) 721-2895

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob B Roth
Gender	Male
Speciality	Clinical Psychologist
Experience	47 Years
Location	2110 Priest Bridge Dr, Crofton, Maryland
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacob B Roth graduated from medical school in 1977

NPI Data:

NPI Number: 1326080730
Provider Enumeration Date: 06/11/2006
Last Update Date: 06/03/2014

Medicare PECOS Information:

PECOS PAC ID: 2264445113
Enrollment ID: I20060720000095

Medical Identifiers

Medical identifiers for Dr Jacob B Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326080730	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1194 (Maryland)	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. Dr Jacob B Roth allows following entities to bill medicare on his behalf.

Entity Name	Jb Roth And Assoc Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801838214 PECOS PAC ID: 0446263396 Enrollment ID: O20060720000092

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 Jacob B 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 Jacob B Roth, PHD 2110 Priest Bridge Dr, Suite 4, Crofton, MD 21114-2472 Ph: (301) 858-9880	Dr Jacob B Roth, PHD 2110 Priest Bridge Dr, Suite 4, Crofton, MD 21114-2472 Ph: (301) 858-9880

Reviews and Comments

Psychologist in Crofton, MD

Dr. Melinda E Williams-gray, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2139 Espey Court, Suite 2, Crofton, MD 21114 Phone: 202-810-4148
Dr. Carla Corsey, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1662 Village Grn Ste 100, Crofton, MD 21114 Phone: 410-757-2077
Dr. Steven Michael Berkowitz, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2018 Old Willow Way, Crofton, MD 21114 Phone: 443-306-7668 Fax: 410-451-3451
Dr. Tyler Calabrese, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1742 Waldorf Ct, Crofton, MD 21114 Phone: 410-790-5075
Kate Chowpaknam, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1662 Village Grn, Crofton, MD 21114 Phone: 410-757-2077 Fax: 410-721-2357
Dr. Edward William Cassidy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2110 Priest Bridge Dr, Suite 4, Crofton, MD 21114 Phone: 301-858-9880 Fax: 410-721-3895

Dr Jacob B Roth, PHD - Medicare Psychologist in Crofton, MD