Kelli Roth, - Medicare Nurse Practitioner in Long Island City, NY

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Kelli Roth, is a medicare enrolled "Nurse Practitioner - Family" in Long Island City, New York. She went to New York University School Of Medicine and graduated in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Century Medical And Dental Center Inc and her current practice location is 1041 47th Ave, Long Island City, New York. You can reach out to her office (for appointments etc.) via phone at (212) 385-3700.

Kelli Roth is licensed to practice in New York (license number 352922) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023898244.

Contact Information

Kelli Roth,
1041 47th Ave,
Long Island City, NY 11101-5416
(212) 385-3700
Not Available

Map and Direction




Provider's Profile

Full NameKelli Roth
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1041 47th Ave, Long Island City, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelli Roth attended and graduated from New York University School Of Medicine in 2023
  NPI Data:
  • NPI Number: 1023898244
  • Provider Enumeration Date: 10/04/2023
  • Last Update Date: 10/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587190749
  • Enrollment ID: I20241211001487

Medical Identifiers

Medical identifiers for Kelli Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023898244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 352922 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Century Medical And Dental Center Inc8729070669107

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. Kelli Roth allows following entities to bill medicare on her behalf.
Entity NameCentury Medical & Dental Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144399098
PECOS PAC ID: 8729070669
Enrollment ID: O20040331001710

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. Kelli 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
Kelli Roth,
60 W 23rd St Apt 549,
New York, NY 10010-5285

Ph: (908) 303-0801		Kelli Roth,
1041 47th Ave,
Long Island City, NY 11101-5416

Ph: (212) 385-3700

Reviews and Comments


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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.