Karen S Roth, ANP-BC, ACHPN - Medicare Nurse Practitioner in Newark, NY

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Karen S Roth, ANP-BC, ACHPN is a medicare enrolled "Nurse Practitioner - Adult Health" in Newark, New York. Her current practice location is 1208 Driving Park Ave, Newark, New York. You can reach out to her office (for appointments etc.) via phone at (315) 359-2640.

Karen S Roth is licensed to practice in New York (license number F300625) 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 1093714784.

Contact Information

Karen S Roth, ANP-BC, ACHPN
1208 Driving Park Ave,
Newark, NY 14513-1057
(315) 359-2640
Not Available

Map and Direction




Provider's Profile

Full NameKaren S Roth
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1208 Driving Park Ave, Newark, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093714784
  • Provider Enumeration Date: 07/15/2005
  • Last Update Date: 03/26/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3971543687
  • Enrollment ID: I20050511000787

Medical Identifiers

Medical identifiers for Karen S Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093714784NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F300625 (New York)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. Karen S Roth allows following entities to bill medicare on her behalf.
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644
Entity NameClifton Springs Sanitarium Co
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366505463
PECOS PAC ID: 5092704809
Enrollment ID: O20040525000569
Entity NameWestern New York Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063790608
PECOS PAC ID: 3870767791
Enrollment ID: O20111110000598

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. Karen S 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 AddressPractice Location Address
Karen S Roth, ANP-BC, ACHPN
4195 W Walworth Rd,
Macedon, NY 14502-9313

Ph: (315) 986-5771		Karen S Roth, ANP-BC, ACHPN
1208 Driving Park Ave,
Newark, NY 14513-1057

Ph: (315) 359-2640

Reviews and Comments


Nurse Practitioner Nurses in Newark, NY

Dr. Brandon Patrick Nugent, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2123    
Jennifer Lynn Torres,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2557    Fax: 315-462-2062
Damar Titsy-ann Mcintyre, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Driving Park Ave, Newark, NY 14513
Phone: 315-332-2266    
Paula Kay Dorn, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2130    Fax: 315-359-2139
Beverly J Provo, GNPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1208 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2640    
Mr. Craig Alan Weise, MS, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2133    Fax: 315-359-2139

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.