Dr Adele M Roth, MD - Medicare Family Practice in Belleville, IL

Dr Adele M Roth, MD is a medicare enrolled "Family Medicine" physician in Belleville, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern Illinois Healthcare Foundation, Inc. and her current practice location is 2900 Frank Scott Pkwy W, Suite 980, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 234-9200.

Dr Adele M Roth is licensed to practice in Illinois (license number 036069016) 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 1750480356.

Contact Information

Dr Adele M Roth, MD
2900 Frank Scott Pkwy W, Suite 980,
Belleville, IL 62223-5000
(618) 234-9200
(618) 234-3940

Map and Direction




Physician's Profile

Full NameDr Adele M Roth
GenderFemale
SpecialityFamily Practice
Experience41 Years
Location2900 Frank Scott Pkwy W, Belleville, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Adele M Roth attended and graduated from Southern Illinois University School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1750480356
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 05/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274726484
  • Enrollment ID: I20101020001004

Medical Identifiers

Medical identifiers for Dr Adele M Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750480356NPI-NPPES
036069016MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036069016 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial HospitalBelleville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Illinois Healthcare Foundation, Inc.145625687499

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 Adele M Roth allows following entities to bill medicare on her behalf.
Entity NameSouthern Illinois Healthcare Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641

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 Adele M 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 Adele M Roth, MD
2900 Frank Scott Pkwy W Ste 980,
Belleville, IL 62223-5000

Ph: (618) 234-9200
Dr Adele M Roth, MD
2900 Frank Scott Pkwy W, Suite 980,
Belleville, IL 62223-5000

Ph: (618) 234-9200

Reviews and Comments


Family Medicine Doctors in Belleville, IL

Wallace K Abel, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 311 W Lincoln St Ste 200, Belleville, IL 62220
Phone: 618-234-2566    Fax: 618-234-5650
Dr. Shannon Erin Witty, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 180 S 3rd St Ste 400, Belleville, IL 62220
Phone: 618-233-7880    
Dr. Victoria Oluwaseun Spencer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    Fax: 618-257-6679
Naveen Kumar Reddy Bondalapati, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-233-3066    Fax: 618-257-6679
David J Nyquist, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    Fax: 618-257-6679
Niraj J Shah, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226
Phone: 618-767-7000    
Brett Allen Nance, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 180 S 3rd St, Suite 400, Belleville, IL 62220
Phone: 618-233-7880    Fax: 618-222-4792

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.