Matthew David Roth, MSN FNP-BC in Ortonville, MI

Matthew David Roth, MSN FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Ortonville, Michigan. His current practice location is 540 Douglaston Dr, Ortonville, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 390-7392.

Matthew David Roth is licensed to practice in Michigan (license number 4704293971) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811580442.

Contact Information

	Matthew David Roth, MSN FNP-BC
	540 Douglaston Dr, Ortonville, MI 48462-8525
	(248) 390-7392
	Not Available

Map and Direction

Provider's Profile

Full Name	Matthew David Roth
Gender	Male
Speciality	Nurse Practitioner - Family
Location	540 Douglaston Dr, Ortonville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811580442
Provider Enumeration Date: 02/15/2021
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 5890143002
Enrollment ID: I20231129001224

Medical Identifiers

Medical identifiers for Matthew David Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811580442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704293971 (Michigan)	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. Matthew David Roth allows following entities to bill medicare on his behalf.

Entity Name	Hurley Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375

Entity Name	Hurley Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053347880 PECOS PAC ID: 2961308481 Enrollment ID: O20040326000566

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. Matthew David 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
Matthew David Roth, MSN FNP-BC 540 Douglaston Dr, Ortonville, MI 48462-8525 Ph: (248) 390-7392	Matthew David Roth, MSN FNP-BC 540 Douglaston Dr, Ortonville, MI 48462-8525 Ph: (248) 390-7392

Reviews and Comments

Nurse Practitioner Nurses in Ortonville, MI

Brandy Godbout, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1368 Perry Lake Rd, Ortonville, MI 48462 Phone: 586-556-6020
Baylie Dynell Bettinger, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 N Ortonville Rd, Ortonville, MI 48462 Phone: 248-793-7713
Mrs. Sandra Sherer, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12280 Ray Rd, Ortonville, MI 48462 Phone: 248-467-7755
Traci Taylor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Hummer Lake Rd, Ortonville, MI 48462 Phone: 586-552-7094
Lynn Sandford Victoria Walls, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 481 Aarons Way, Ortonville, MI 48462 Phone: 248-660-6497

Matthew David Roth, MSN FNP-BC - Medicare Nurse Practitioner in Ortonville, MI