| Dr Angela Ruth Roth, MD | |
|
2315 8th St, Lewiston, ID 83501-7301 | |
| (208) 746-1383 | |
| (208) 746-1383 |
| Full Name | Dr Angela Ruth Roth |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 33 Years |
| Location | 2315 8th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851323950 | NPI | - | NPPES |
| 2079474 | Medicaid | WA | |
| 1851323950 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M-13774 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catalyst Medical Group Pllc | 2365722105 | 32 |
| Entity Name | Catalyst Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001188 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angela Ruth Roth, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 | Dr Angela Ruth Roth, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 |
Natale Carasali, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Gregory P Schultz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Dr. Darby S Lynch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Theodore K Krisher, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Robert Todd Parkey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Dr. Craig N. Ambroson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Dr. Tysen L Weber, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 |