Ted M Roth, MD in South Bend, IN - Medicare Obstetrics/gynecology

Ted M Roth, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in South Bend, Indiana. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 1996 and has 28 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Beacon Medical Group Inc and his current practice location is 621 Memorial Dr Ste 302, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 367-3800.

Ted M Roth is licensed to practice in Indiana (license number 01081226A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174503866.

Contact Information

	Ted M Roth, MD
	621 Memorial Dr Ste 302, South Bend, IN 46601-1073
	(574) 367-3800
	(574) 367-3801

Map and Direction

Physician's Profile

Full Name	Ted M Roth
Gender	Male
Speciality	Obstetrics/gynecology
Experience	28 Years
Location	621 Memorial Dr Ste 302, South Bend, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ted M Roth attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1996

NPI Data:

NPI Number: 1174503866
Provider Enumeration Date: 01/19/2006
Last Update Date: 04/05/2021

Medicare PECOS Information:

PECOS PAC ID: 1658321898
Enrollment ID: I20181115001638

Medical Identifiers

Medical identifiers for Ted M Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174503866	NPI	-	NPPES
300020434	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	01081226A (Indiana)	Secondary
207VF0040X	Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery	01081226A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Medical Group Inc	1254243306	452

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. Ted M Roth allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Ted M 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
Ted M Roth, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Ted M Roth, MD 621 Memorial Dr Ste 302, South Bend, IN 46601-1073 Ph: (574) 367-3800

Reviews and Comments

Obstetrics & Gynecology Doctors in South Bend, IN

Dr. Rajendra Vito Shah, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 N Lafayette Blvd, South Bend, IN 46601 Phone: 574-232-2037 Fax: 574-232-1420
Kelly Wayne Mcguire, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6301 University Commons, Suite 310, South Bend, IN 46635 Phone: 574-232-1471 Fax: 574-239-8511
Sara A Baumgartner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons Ste 310, South Bend, IN 46635 Phone: 574-232-1471 Fax: 574-239-8511
Zhiquan Zhao, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons Ste 310, Ob/gyn Office, South Bend, IN 46635 Phone: 574-232-1471 Fax: 574-232-0741
Robert J Austin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1650 Fax: 574-647-1655
Dr. Thomas R Gruszynski, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr, Suite 616, South Bend, IN 46601 Phone: 574-234-2128 Fax: 574-234-4775
Daniel Francis Czarnecki, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 N Lafayette Blvd, South Bend, IN 46601 Phone: 574-232-2037 Fax: 574-232-1420

Ted M Roth, MD - Medicare Obstetrics/gynecology in South Bend, IN