Dr Melinda-ann B Roth, MD | |
12020 Reisterstown Rd, Reisterstown, MD 21136-3041 | |
(410) 833-3801 | |
Not Available |
Full Name | Dr Melinda-ann B Roth |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 12020 Reisterstown Rd, Reisterstown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811922867 | NPI | - | NPPES |
253003100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
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208100000X | Physical Medicine & Rehabilitation | D0037535 (Maryland) | Primary |
Entity Name | Foundational Health Restoration Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841879145 PECOS PAC ID: 4385053172 Enrollment ID: O20210506003123 |
Mailing Address | Practice Location Address |
---|---|
Dr Melinda-ann B Roth, MD 644 Cockeys Mill Rd, Reisterstown, MD 21136-5116 Ph: (410) 833-8205 | Dr Melinda-ann B Roth, MD 12020 Reisterstown Rd, Reisterstown, MD 21136-3041 Ph: (410) 833-3801 |
Rachel Lyn Gochnauer, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2 Chartley Dr, Reisterstown, MD 21136 Phone: 410-833-5300 Fax: 410-833-5333 | |
Dr. Tatyana Reznikov, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 116 Westminster Pike, Suite 106, Reisterstown, MD 21136 Phone: 410-833-1011 Fax: 410-833-1705 |