Dr Brandon Ian Roth, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Glendale, Arizona. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Arizona Spine And Pain Specialists Llc and his current practice location is
18555 N 79th Ave Ste D101, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 563-6400.
Dr Brandon Ian Roth is licensed to practice in Arizona (license number 60636) 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 1568849990.
Physician's Profile
| Full Name | Dr Brandon Ian Roth |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 11 Years |
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| Location | 18555 N 79th Ave Ste D101, Glendale, Arizona |
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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 Brandon Ian Roth graduated from medical school in 2015
NPI Data:
- NPI Number: 1568849990
- Provider Enumeration Date: 05/06/2015
- Last Update Date: 04/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395050702
- Enrollment ID: I20200617000432
Medical Identifiers
Medical identifiers for Dr Brandon Ian Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568849990 | NPI | - | NPPES |
| 007126 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 60636 (Arizona) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 60636 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Arizona Spine And Pain Specialists Llc | 7214251396 | 23 |
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 Brandon Ian Roth allows following entities to bill medicare on his behalf.
| Entity Name | Arizona Pain Specialists PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700030939 PECOS PAC ID: 2668536418 Enrollment ID: O20090123000125 |
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| Entity Name | Arizona Spine and Pain Specialists LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336552140 PECOS PAC ID: 7214251396 Enrollment ID: O20150120001820 |
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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 Brandon Ian 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 Brandon Ian Roth, MD Po Box 6408, Scottsdale, AZ 85261-6408 Ph: (480) 563-6400 | Dr Brandon Ian Roth, MD 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 Ph: (480) 563-6400 |
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