Mary Ellen Roth, in Chardon, OH - Medicare Mental Health Counselor Provider

Mary Ellen Roth, is a medicare enrolled "Counselor - Professional" provider in Chardon, Ohio. She graduated from healthcare school in 2002 and has 23 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Coleman Professional Services, Inc. and her current practice location is 695 South Street, #6, Chardon, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 286-1553.

Mary Ellen Roth is licensed to practice in Ohio (license number E0007784) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891082566.

Contact Information

	Mary Ellen Roth,
	695 South Street, #6, Chardon, OH 44024
	(440) 286-1553
	(440) 286-1318

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Ellen Roth
Gender	Female
Speciality	Mental Health Counselor
Experience	23 Years
Location	695 South Street, #6, Chardon, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Ellen Roth graduated from medical school in 2002

NPI Data:

NPI Number: 1891082566
Provider Enumeration Date: 07/01/2011
Last Update Date: 07/01/2011

Medicare PECOS Information:

PECOS PAC ID: 3678005360
Enrollment ID: I20241018003145

Medical Identifiers

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

Identifier	Type	State	Issuer
1891082566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E0007784 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coleman Professional Services, Inc.	2769474618	66

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. Mary Ellen Roth allows following entities to bill medicare on her behalf.

Entity Name	Coleman Professional Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982637633 PECOS PAC ID: 2769474618 Enrollment ID: O20040331001085

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. 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 Address	Practice Location Address
Mary Ellen Roth, 695 South Street, #6, Chardon, OH 44024 Ph: (440) 286-1553	Mary Ellen Roth, 695 South Street, #6, Chardon, OH 44024 Ph: (440) 286-1553

Reviews and Comments

Counselor in Chardon, OH

Wendy Merlene Francis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552
Cassandra Bishop, Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553
Erin Pond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568
Elizabeth Breyley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 South St # 4a, Chardon, OH 44024 Phone: 440-285-2170
Jessica Brewster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 Fax: 440-286-1553
Mrs. Maria Goudas, MA LPCCS Counselor Medicare: Accepting Medicare Assignments Practice Location: 12557 Ravenwood Dr, Ravenwood Mental Health Center, Chardon, OH 44024 Phone: 440-285-3568
Sandra E Bruss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Auburn Rd, Chardon, OH 44024 Phone: 440-226-9144

Mary Ellen Roth, - Medicare Counselor in Chardon, OH