Melinda M Roth, PMHNP in Crandon, WI - Medicare Nurse Practitioner

Melinda M Roth, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Crandon, Wisconsin. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sokaogon Chippewa Community and her current practice location is 3144 Vanzile Rd, Crandon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 478-5180.

Melinda M Roth is licensed to practice in Illinois (license number 277000959) 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 1154757045.

Contact Information

	Melinda M Roth, PMHNP
	3144 Vanzile Rd, Crandon, WI 54520-8149
	(715) 478-5180
	(715) 478-5904

Map and Direction

Provider's Profile

Full Name	Melinda M Roth
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	3144 Vanzile Rd, Crandon, Wisconsin
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:

Melinda M Roth graduated from nursing school in 2016

NPI Data:

NPI Number: 1154757045
Provider Enumeration Date: 09/24/2013
Last Update Date: 09/01/2022

Medicare PECOS Information:

PECOS PAC ID: 5698900231
Enrollment ID: I20170920002093

Medical Identifiers

Medical identifiers for Melinda M Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154757045	NPI	-	NPPES
783333	Other	WI	PROVIDER STATE LICENSE
35957000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209010719 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	277000959 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sokaogon Chippewa Community	1759370869	10

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. Melinda M Roth allows following entities to bill medicare on her behalf.

Entity Name	Sokaogon Chippewa Community
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033115456 PECOS PAC ID: 1759370869 Enrollment ID: O20040512000238

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. Melinda M 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
Melinda M Roth, PMHNP 1100 Beech St Bldg 10, Normal, IL 61761-1493 Ph: (309) 463-5800	Melinda M Roth, PMHNP 3144 Vanzile Rd, Crandon, WI 54520-8149 Ph: (715) 478-5180

Reviews and Comments

Nurse Practitioner Nurses in Crandon, WI

Kristen Radloff, FNP, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 715-478-5180
Jacklin A Sailo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300
Ms. Corrie M. Kassler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W Glen St, Crandon, WI 54520 Phone: 715-478-3318
Mrs. Suzette Linda Katchko, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 715-478-5180
Amy Susan Kuebler, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W Glen St, Crandon, WI 54520 Phone: 715-478-6300 Fax: 715-478-6340
Laura L Meverden, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300

Melinda M Roth, PMHNP - Medicare Nurse Practitioner in Crandon, WI