Dr Bradley Paul Roth, MD is a medicare enrolled "Emergency Medicine" physician in Chewelah, Washington. He went to University Of Washington School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Health And Services - Wa and his current practice location is
500 E Webster Ave, Chewelah, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 935-8211.
Dr Bradley Paul Roth is licensed to practice in Washington (license number MD.MD.61457059) 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 1265061493.
Physician's Profile
| Full Name | Dr Bradley Paul Roth |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 6 Years |
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| Location | 500 E Webster Ave, Chewelah, Washington |
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| 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:
- Dr Bradley Paul Roth attended and graduated from University Of Washington School Of Medicine in 2020
NPI Data:
- NPI Number: 1265061493
- Provider Enumeration Date: 04/08/2020
- Last Update Date: 09/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294155024
- Enrollment ID: I20231110002497
Medical Identifiers
Medical identifiers for Dr Bradley Paul Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265061493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | MD.MD.61457059 (Washington) | Secondary |
| 207P00000X | Emergency Medicine | MD.MD.61457059 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Providence Health And Services - Wa | 9739249350 | 10 |
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 Bradley Paul Roth allows following entities to bill medicare on his behalf.
| Entity Name | Providence Health & Services - Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841442332 PECOS PAC ID: 3577623115 Enrollment ID: O20090130000176 |
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| Entity Name | Providence Health & Services - Wa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902058399 PECOS PAC ID: 9739249350 Enrollment ID: O20090318000512 |
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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 Bradley Paul 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 Bradley Paul Roth, MD 500 E Webster Ave, Chewelah, WA 99109-9523 Ph: (509) 935-8211 | Dr Bradley Paul Roth, MD 500 E Webster Ave, Chewelah, WA 99109-9523 Ph: (509) 935-8211 |
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