| Dr Robert B Roth, MD | |
|
2350 N Lake Dr, Suite 400, Milwaukee, WI 53211-4528 | |
| (414) 271-1633 | |
| (414) 271-5071 |
| Full Name | Dr Robert B Roth |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 43 Years |
| Location | 2350 N Lake Dr, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386684231 | NPI | - | NPPES |
| 31421500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 29385 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Corr Health Wi, Sc | 2163877879 | 2 |
| Corr Health Wi, Sc | 2163877879 | 2 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Entity Name | Corr Health Wi, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508641291 PECOS PAC ID: 2163877879 Enrollment ID: O20231016003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert B Roth, MD 4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082 Ph: (414) 271-1633 | Dr Robert B Roth, MD 2350 N Lake Dr, Suite 400, Milwaukee, WI 53211-4528 Ph: (414) 271-1633 |
Julia Bonner, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211 Phone: 414-229-5684 | |
Dr. Zachary Smith, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-6830 Fax: 414-955-6214 | |
Dr. Christopher Patrick Boyd, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6000 Fax: 414-805-6280 | |
Umair Bajwa, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-0812 Fax: 414-805-0855 | |
Rasika Surajyam Chepuri, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-7040 Fax: 414-955-6211 | |
Therese J. Lange, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6550 Fax: 414-805-6550 | |
Soryal A Soryal, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233 Phone: 414-219-7300 |