Elyssa Lynn Roth, CNP in Lima, OH - Medicare Nurse Practitioner

Elyssa Lynn Roth, CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Lima, Ohio. Her current practice location is 2195 Allentown Rd, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 227-2245.

Elyssa Lynn Roth is licensed to practice in Ohio (license number APRN.CNP.0033090) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992410468.

Contact Information

	Elyssa Lynn Roth, CNP
	2195 Allentown Rd, Lima, OH 45805-1705
	(419) 227-2245
	Not Available

Map and Direction

Provider's Profile

Full Name	Elyssa Lynn Roth
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2195 Allentown Rd, Lima, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992410468
Provider Enumeration Date: 01/19/2023
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3870967987
Enrollment ID: I20230313000749

Medical Identifiers

Medical identifiers for Elyssa Lynn Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992410468	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	RN.463288 (Ohio)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	APRN.CNP.0033090 (Ohio)	Primary

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. Elyssa Lynn Roth allows following entities to bill medicare on her behalf.

Entity Name	Mercer County Joint Township Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632

Entity Name	Mercy Health Physicians Lima, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225292865 PECOS PAC ID: 3375607351 Enrollment ID: O20090206000102

Entity Name	Mercy Health Physicians Lima Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433

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. Elyssa Lynn 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
Elyssa Lynn Roth, CNP 18906 Bebb St, Venedocia, OH 45894-9646 Ph: (567) 644-5847	Elyssa Lynn Roth, CNP 2195 Allentown Rd, Lima, OH 45805-1705 Ph: (419) 227-2245

Reviews and Comments

Nurse Practitioner Nurses in Lima, OH

Stacy Jo Klass, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804 Phone: 419-227-5298 Fax: 419-227-5879
Jocelyn Leigh Sherman, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Bellefontaine Ave Ste 245, Lima, OH 45804 Phone: 419-998-8230
Logan Michael Rieman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste A, Lima, OH 45804 Phone: 419-222-6622 Fax: 419-224-0015
Holly A Archer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2195 Allentown Rd, Lima, OH 45805 Phone: 419-227-2245 Fax: 419-229-1573
Cassandra Baumgartner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 441 E 8th St, Lima, OH 45804 Phone: 419-221-3072
Jessica A Dailey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 N Cable Rd, Lima, OH 45805 Phone: 419-228-2600 Fax: 419-228-1100
Mrs. Ruth Ann Grothouse, C-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 W High St, Suite 300, Lima, OH 45801 Phone: 419-229-6781 Fax: 419-229-3490

Elyssa Lynn Roth, CNP - Medicare Nurse Practitioner in Lima, OH