| Dr Timothy J Roth, MD | |
|
22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | |
| (473) 825-0808 | |
| Not Available |
| Full Name | Dr Timothy J Roth |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 23 Years |
| Location | 22285 N Pepper Rd Ste 201, Lake Barrington, Illinois |
| 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 |
|---|---|---|---|
| 1194795336 | NPI | - | NPPES |
| 036129291 | Medicaid | IL | |
| 981453100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036-129291 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Delnor Community Hospital | Geneva, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Advocate Sherman Hospital | Elgin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Central Dupage Physician Group | 5890696231 | 1005 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | United Shockwave Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy J Roth, MD 22285 N Pepper Rd, Ste 201, Lake Barrington, IL 60010-2540 Ph: (847) 382-5080 | Dr Timothy J Roth, MD 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 Ph: (473) 825-0808 |
Matthew Daniel Houlihan, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010 Phone: 847-382-5080 | |
Dr. Brian M Keuer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 22285 N Pepper Rd, #201, Lake Barrington, IL 60010 Phone: 847-382-5080 | |
Dr. David E Goldrath, M.D. Urology Medicare: Medicare Enrolled Practice Location: 22285 N Pepper Rd, Suite 201, Lake Barrington, IL 60010 Phone: 847-382-5080 Fax: 847-382-0923 | |
Nicole Alyssa Hamilton, CNP Urology Medicare: Not Enrolled in Medicare Practice Location: 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010 Phone: 847-382-5080 Fax: 847-382-0923 | |
Dr. Christopher Michael Lodowsky, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 22285 N. Pepper Road, Suite 201, Lake Barrington, IL 60010 Phone: 847-382-5080 Fax: 847-382-0923 | |
Dr. Tamra E Lewis, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 22285 Pepper Rd, #201, Lake Barrington, IL 60010 Phone: 847-382-5080 Fax: 847-382-0923 |