Theresa Lynne Roth, CRNA in Alliance, OH - Medicare Nurse Anesthetist, Certified Registered

Theresa Lynne Roth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alliance, Ohio. Her current practice location is 200 E State St, Alliance, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 286-5330.

Theresa Lynne Roth is licensed to practice in Ohio (license number APRN.CRNA.02076) 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 1508882556.

Contact Information

	Theresa Lynne Roth, CRNA
	200 E State St, Alliance, OH 44601-4936
	(330) 286-5330
	(330) 286-5396

Map and Direction

Provider's Profile

Full Name	Theresa Lynne Roth
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	200 E State St, Alliance, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508882556
Provider Enumeration Date: 07/14/2006
Last Update Date: 01/29/2020

Medicare PECOS Information:

PECOS PAC ID: 4587682448
Enrollment ID: I20051109000424

Medical Identifiers

Medical identifiers for Theresa Lynne Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508882556	NPI	-	NPPES
0932361	Medicaid	OH
P02145866	Other	OH	MEDICARE RAILROAD PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APRN.CRNA.02076 (Ohio)	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. Theresa Lynne Roth allows following entities to bill medicare on her behalf.

Entity Name	Bel-park Anesthesia Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067

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. Theresa Lynne 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
Theresa Lynne Roth, CRNA 4135 Boardman Canfield Rd Ste 101, Canfield, OH 44406-9803 Ph: (330) 286-5330	Theresa Lynne Roth, CRNA 200 E State St, Alliance, OH 44601-4936 Ph: (330) 286-5330

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Alliance, OH

Patricia E Dumovic, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 East State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214
Margaret Elizabeth Wood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-829-4000 Fax: 330-829-4533
Susan C Thomas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7227
Janice Ann Foley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7157 Fax: 330-596-7214
Anna M Lang-clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214
Barbara M Mastriana, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 E. State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214

Theresa Lynne Roth, CRNA - Medicare Nurse Anesthetist, Certified Registered in Alliance, OH