| Elizabeth B Roth, MD | |
|
9000 W Wisconsin Ave, Pediatric Urology, Milwaukee, WI 53226-4874 | |
| (414) 266-3794 | |
| (414) 266-1752 |
| Full Name | Elizabeth B Roth |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 15 Years |
| Location | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982925327 | NPI | - | NPPES |
| 1982925327 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 63705 (Wisconsin) | Secondary |
| 2088P0231X | Urology - Pediatric Urology | 63705 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Childrens Specialty Group Inc | 2567813447 | 122 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Childrens Specialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970405 PECOS PAC ID: 2567813447 Enrollment ID: O20240104002075 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth B Roth, MD 9000 W Wisconsin Ave, Pediatric Urology, Milwaukee, WI 53226-4874 Ph: (414) 266-3794 | Elizabeth B Roth, MD 9000 W Wisconsin Ave, Pediatric Urology, Milwaukee, WI 53226-4874 Ph: (414) 266-3794 |
Mark Ehlers, Urology Medicare: Accepting Medicare Assignments Practice Location: 2801 W Kinnickinnic River Pkwy Ste 330, Milwaukee, WI 53215 Phone: 414-649-1280 Fax: 414-649-1288 | |
Dr. Michael L Guralnick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771 | |
Dr. Pedro M. Banda, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2311 N Prospect Ave, Milwaukee, WI 53211 Phone: 414-319-3000 Fax: 414-319-3087 | |
Erica Lynn Eggers, Urology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Lake Dr Ste 306, Milwaukee, WI 53211 Phone: 414-298-7171 | |
Dr. Jay I Sandlow, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771 | |
Joshua Alan Bodie, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771 | |
Mr. Michael Ernst Mitchell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-3666 |