Rebecca Fields Roth, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Climax, North Carolina. Her current practice location is
7163 Charnel Ln, Climax, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 362-0241.
Rebecca Fields Roth is licensed to practice in North Carolina (license number 5005187) 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 1033404603.
Provider's Profile
| Full Name | Rebecca Fields Roth |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 7163 Charnel Ln, Climax, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033404603
- Provider Enumeration Date: 06/12/2011
- Last Update Date: 03/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 3476777632
- Enrollment ID: I20190924000509
Medical Identifiers
Medical identifiers for Rebecca Fields Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033404603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 5005187 (North Carolina) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 5005187 (North Carolina) | Secondary |
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. Rebecca Fields Roth allows following entities to bill medicare on her behalf.
| Entity Name | Horizon Internal Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033353941
PECOS PAC ID: 0446391544
Enrollment ID: O20100112000441 |
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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. Rebecca Fields 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 |
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Rebecca Fields Roth, NP
138 Dublin Square Rd,
Asheboro, NC 27203-8600
Ph: (336) 362-0241 | Rebecca Fields Roth, NP
7163 Charnel Ln,
Climax, NC 27233-9171
Ph: (336) 362-0241 |
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