Heather A Roth, NP in Cheyenne, WY - Medicare Nurse Practitioner

Heather A Roth, NP is a medicare enrolled "Nurse Practitioner" in Cheyenne, Wyoming. Her current practice location is 2500 Dell Range Blvd, Cheyenne, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 630-4729.

Heather A Roth is licensed to practice in Wyoming (license number 52020) 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 1942351333.

Contact Information

	Heather A Roth, NP
	2500 Dell Range Blvd, Cheyenne, WY 82009-5273
	(307) 630-4729
	Not Available

Map and Direction

Provider's Profile

Full Name	Heather A Roth
Gender	Female
Speciality	Nurse Practitioner
Location	2500 Dell Range Blvd, Cheyenne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942351333
Provider Enumeration Date: 01/15/2007
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 3678587656
Enrollment ID: I20120717000599

Medical Identifiers

Medical identifiers for Heather A Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942351333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0990361 (Colorado)	Secondary
363L00000X	Nurse Practitioner	52020 (Wyoming)	Primary
363L00000X	Nurse Practitioner	057094-23-03 (New Hampshire)	Secondary
363L00000X	Nurse Practitioner	259049 (Massachusetts)	Secondary
363L00000X	Nurse Practitioner	057094-21 (New Hampshire)	Secondary

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. Heather A Roth allows following entities to bill medicare on her behalf.

Entity Name	Meadows Family Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962440412 PECOS PAC ID: 0446151617 Enrollment ID: O20040120000416

Entity Name	Gps Physician Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180118001015

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. Heather A 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
Heather A Roth, NP Po Box 20092, Cheyenne, WY 82003-7002 Ph: (307) 630-4729	Heather A Roth, NP 2500 Dell Range Blvd, Cheyenne, WY 82009-5273 Ph: (307) 630-4729

Reviews and Comments

Nurse Practitioner Nurses in Cheyenne, WY

Christy Marie Dawson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4003 Rawlins St Ste A, Cheyenne, WY 82001 Phone: 307-638-8975
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Jannene Sneddon Sebesta, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-633-7952 Fax: 307-633-7018
Patrick Fitzgerald, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 E Fox Farm Rd, Cheyenne, WY 82007 Phone: 307-635-3618 Fax: 307-635-1442
Brandon Tyler Johnson, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 820 E 17th St, Cheyenne, WY 82001 Phone: 307-632-2434

Heather A Roth, NP - Medicare Nurse Practitioner in Cheyenne, WY