Mr Samuel Klein Roth, PA - Medicare Physician Assistant in Cary, NC

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Mr Samuel Klein Roth, PA is a medicare enrolled "Physician Assistant - Medical" in Cary, North Carolina. His current practice location is 105 Sw Cary Pkwy, Suite 300, Cary, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 467-3203.

Mr Samuel Klein Roth is licensed to practice in North Carolina (license number 101361) 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 1700827268.

Contact Information

Mr Samuel Klein Roth, PA
105 Sw Cary Pkwy, Suite 300,
Cary, NC 27511-5600
(919) 467-3203
(919) 459-5401

Map and Direction




Provider's Profile

Full NameMr Samuel Klein Roth
GenderMale
SpecialityPhysician Assistant - Medical
Location105 Sw Cary Pkwy, Cary, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700827268
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 10/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9133170582
  • Enrollment ID: I20050203000157

Medical Identifiers

Medical identifiers for Mr Samuel Klein Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700827268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 101361 (North Carolina)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. Mr Samuel Klein Roth allows following entities to bill medicare on his behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116
Entity NameThe Charlotte-mecklenburg Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605

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. Mr Samuel Klein 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 AddressPractice Location Address
Mr Samuel Klein Roth, PA
105 Sw Cary Pkwy, Suite 300,
Cary, NC 27511-5600

Ph: (919) 467-3203		Mr Samuel Klein Roth, PA
105 Sw Cary Pkwy, Suite 300,
Cary, NC 27511-5600

Ph: (919) 467-3203

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.