Blake Roth, in Hays, KS - Medicare Qualified Speech Language Pathologist Provider

Blake Roth, is a medicare enrolled "Speech-language Pathologist" provider in Hays, Kansas. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. He is a member of the group practice Fort Hays State University and his current practice location is 600 Park St, Hays, Kansas. You can reach out to his office (for appointments etc.) via phone at (785) 628-5366.

Blake Roth is licensed to practice in Kansas (license number 4158) 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 1396268728.

Contact Information

	Blake Roth,
	600 Park St, Hays, KS 67601-4009
	(785) 628-5366
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Roth
Gender	Male
Speciality	Qualified Speech Language Pathologist
Experience	8 Years
Location	600 Park St, Hays, Kansas
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:

Blake Roth graduated from medical school in 2016

NPI Data:

NPI Number: 1396268728
Provider Enumeration Date: 07/18/2017
Last Update Date: 02/06/2023

Medicare PECOS Information:

PECOS PAC ID: 7810260205
Enrollment ID: I20180309000666

Medical Identifiers

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

Identifier	Type	State	Issuer
1396268728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4158 (Kansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fort Hays State University	8921057365	3

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. Blake Roth allows following entities to bill medicare on his behalf.

Provider Name	Fort Hays State University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811101454 PECOS PAC ID: 8921057365 Enrollment ID: O20050112001062

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. Blake 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
Blake Roth, 600 Park St, Hays, KS 67601-4009 Ph: () -	Blake Roth, 600 Park St, Hays, KS 67601-4009 Ph: (785) 628-5366

Reviews and Comments

Speech-Language Pathologist in Hays, KS

Mackenzie Schuckman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1107 E 13th St, Hays, KS 67601 Phone: 785-675-0043 Fax: 785-422-7521
Jennifer Sullivan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 94 Lewis Dr, Hays, KS 67601 Phone: 785-625-3257
Marcy Beougher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 Park St, Albertson 103c, Hays, KS 67601 Phone: 785-628-5366
Anne J Bemis, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 Park Street, Albertson Hall 103d, Hays, KS 67601 Phone: 785-628-5260 Fax: 785-628-5271
Mrs. Somary M Vilaysing, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 217 W 17th St, Hays, KS 67601 Phone: 785-639-0535
Kreative Speech Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2402 Centennial Blvd, Hays, KS 67601 Phone: 785-639-4603
Mrs. Glenda Susan Bowles, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 94 Lewis Dr, Hays, KS 67601 Phone: 785-625-3257 Fax: 785-625-8557

Blake Roth, - Medicare Speech-Language Pathologist in Hays, KS