| Mr John R Roth, MPAS, PA-C | |
|
920 Country Club Rd Ste 140a, Eugene, OR 97401-6024 | |
| (503) 362-8385 | |
| (503) 362-8435 |
| Full Name | Mr John R Roth |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 920 Country Club Rd Ste 140a, Eugene, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770767360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01418 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Umpqua Community Health Center Inc | 0345233078 | 33 |
| Entity Name | Umpqua Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396751772 PECOS PAC ID: 0345233078 Enrollment ID: O20040511000463 |
| Entity Name | Silver Falls Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20081009000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John R Roth, MPAS, PA-C Po Box 741825, Los Angeles, CA 90074-1825 Ph: (503) 362-8385 | Mr John R Roth, MPAS, PA-C 920 Country Club Rd Ste 140a, Eugene, OR 97401-6024 Ph: (503) 362-8385 |
Ms. Trina J Viner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Country Club Rd Ste 100, Eugene, OR 97401 Phone: 541-463-2390 |
Cassandra M Wren, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4765 Village Plaza Loop, Suite 100, Eugene, OR 97401 Phone: 541-485-7546 Fax: 541-345-5254 |
Maureen Mcmahon Paulus, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 920 Country Club Rd, Suite 200a, Eugene, OR 97401 Phone: 541-342-2134 Fax: 541-686-6021 |
Wendy Eileen Hunter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Country Club Pkwy, Eugene, OR 97401 Phone: 541-683-5001 Fax: 541-683-1422 |
Martha Griffith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3125 Chad Dr Ste 100, Eugene, OR 97408 Phone: 541-868-9292 Fax: 541-687-7943 |
Jeremy Scott Johnston, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1605 Oak St, Eugene, OR 97401 Phone: 541-246-3400 Fax: 541-246-3342 |
Caryn Scott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 890 River Rd, Eugene, OR 97404 Phone: 541-688-0674 Fax: 541-688-5378 |