Mary A Roth, FNP in Marshall, MO - Medicare Nurse Practitioner

Mary A Roth, FNP is a medicare enrolled "Nurse Practitioner - Family" in Marshall, Missouri. Her current practice location is 2301 South 65 Highway, Marshall, Missouri. You can reach out to her office (for appointments etc.) via phone at (660) 886-7800.

Mary A Roth is licensed to practice in Missouri (license number 149803) 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 1467618785.

Contact Information

	Mary A Roth, FNP
	2301 South 65 Highway, Marshall, MO 65340-3702
	(660) 886-7800
	(660) 886-3328

Map and Direction

Provider's Profile

Full Name	Mary A Roth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2301 South 65 Highway, Marshall, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467618785
Provider Enumeration Date: 08/06/2008
Last Update Date: 04/20/2012

Medicare PECOS Information:

PECOS PAC ID: 2062580335
Enrollment ID: I20081014000542

Medical Identifiers

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

Identifier	Type	State	Issuer
1467618785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	149803 (Missouri)	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. Mary A Roth allows following entities to bill medicare on her behalf.

Entity Name	Bothwell Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246

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. Mary 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
Mary A Roth, FNP 2301 South 65 Highway, Marshall, MO 65340-3702 Ph: (660) 886-7800	Mary A Roth, FNP 2301 South 65 Highway, Marshall, MO 65340-3702 Ph: (660) 886-7800

Reviews and Comments

Nurse Practitioner Nurses in Marshall, MO

Angela L Lybarger, APMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 S Highway 65 Bldg A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3306
Mrs. Christina Ann Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2305 S Highway 65 Bldg A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3328
Elizabeth Marie Sandidge, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 S Highway 65, Marshall, MO 65340 Phone: 660-886-7431 Fax: 660-886-9001
Amber Renee Drumheller, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 S Highway 65 Bldg A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3306
Tracy Jean Guthrie, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 S Highway 65 Ste A, Marshall, MO 65340 Phone: 660-886-3364
Angela Louise Pogue, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 687 N Benton Ave, Marshall, MO 65340 Phone: 660-473-9534
Mr. Justin Scot Cortez, RN, MSN, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 S Highway 65 Ste A, Marshall, MO 65340 Phone: 660-886-3364 Fax: 660-886-6044

Mary A Roth, FNP - Medicare Nurse Practitioner in Marshall, MO