Dr Daniel Jay Roth, MD in South Windsor, CT

Dr Daniel Jay Roth, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in South Windsor, Connecticut. His current practice location is 1665 Ellington Rd, South Windsor, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 648-2447.

Dr Daniel Jay Roth is licensed to practice in Connecticut (license number 81112) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467541078.

Contact Information

	Dr Daniel Jay Roth, MD
	1665 Ellington Rd, South Windsor, CT 06074-2778
	(860) 648-2447
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Daniel Jay Roth
Gender	Male
Speciality	Pediatrics - Adolescent Medicine
Location	1665 Ellington Rd, South Windsor, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467541078
Provider Enumeration Date: 10/12/2006
Last Update Date: 05/08/2025

Medicare PECOS Information:

PECOS PAC ID: 7911068473
Enrollment ID: I20160927002283

Medical Identifiers

Medical identifiers for Dr Daniel Jay Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467541078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	81112 (Connecticut)	Primary

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 Daniel Jay Roth allows following entities to bill medicare on his behalf.

Entity Name	Columbus Ambulatory Healthcare Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790733244 PECOS PAC ID: 1355244385 Enrollment ID: O20040128000790

Entity Name	Mppg Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338

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 Daniel Jay 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 Daniel Jay Roth, MD 1830 D Youville Ln, Atlanta, GA 30341-1460 Ph: () -	Dr Daniel Jay Roth, MD 1665 Ellington Rd, South Windsor, CT 06074-2778 Ph: (860) 648-2447

Reviews and Comments

Pediatrics Doctors in South Windsor, CT

Anna Ryan, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1665 Ellington Rd, South Windsor, CT 06074 Phone: 860-648-2447
Bhavna Sacheti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1728 Ellington Rd, South Windsor, CT 06074 Phone: 860-644-1533 Fax: 860-644-1252
Dr. Vandana Sacheti, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1728 Ellington Rd, South Windsor, CT 06074 Phone: 860-644-1533 Fax: 860-644-1252
Sreenivas Dutt Gunturu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 Tamarack Ave, South Windsor, CT 06074 Phone: 860-647-8282 Fax: 860-647-8399
John Henry Walker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 Tamarack Ave, South Windsor, CT 06074 Phone: 860-647-8282 Fax: 860-647-8399
Dr. Frederic Jacob Bernstein, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 Tamarack Ave, South Windsor, CT 06074 Phone: 860-647-8282 Fax: 860-647-8399
Dr. Eileen Freedman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1665 Ellington Rd, South Windsor, CT 06074 Phone: 860-648-2447 Fax: 860-644-0874

Dr Daniel Jay Roth, MD - Medicare Pediatrics in South Windsor, CT