Mackenzie Lynn Roth, PA is a medicare enrolled "Physician Assistant - Medical" in Bloomsdale, Missouri. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Communitymed Pllc and her current practice location is
255 Boderman, Bloomsdale, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 483-2929.
Mackenzie Lynn Roth is licensed to practice in Missouri (license number 2021010020) 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 1831765759.
Provider's Profile
Full Name | Mackenzie Lynn Roth |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 3 Years |
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Location | 255 Boderman, Bloomsdale, Missouri |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mackenzie Lynn Roth graduated from nursing school in 2021
NPI Data:
- NPI Number: 1831765759
- Provider Enumeration Date: 06/01/2021
- Last Update Date: 06/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082019955
- Enrollment ID: I20220509001892
Medical Identifiers
Medical identifiers for Mackenzie Lynn Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831765759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 2021010020 (Missouri) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Communitymed Pllc | 9830315126 | 47 |
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. Mackenzie 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 |
Mackenzie Lynn Roth, PA 800 Ste Genevieve Dr, Ste Genevieve, MO 63670-1434 Ph: (573) 883-7781 | Mackenzie Lynn Roth, PA 255 Boderman, Bloomsdale, MO 63627-9099 Ph: (573) 483-2929 |
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