Benjamin S Roth, - Medicare Physical Therapist in Le Roy, IL

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Benjamin S Roth, is a medicare enrolled "Physical Therapist" provider in Le Roy, Illinois. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Athletic And Therapeutic Institute Of Bourbonnais Llc and his current practice location is 200 E Cedar St Ste 3, Le Roy, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 962-3240.

Benjamin S Roth is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124618046.

Contact Information

Benjamin S Roth,
200 E Cedar St Ste 3,
Le Roy, IL 61752-1903
(309) 962-3240
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBenjamin S Roth
GenderMale
SpecialityPhysical Therapy
Experience4 Years
Location200 E Cedar St Ste 3, Le Roy, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Benjamin S Roth graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1124618046
  • Provider Enumeration Date: 01/25/2021
  • Last Update Date: 01/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456765361
  • Enrollment ID: I20210203002471

Medical Identifiers

Medical identifiers for Benjamin S Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124618046NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Athletic And Therapeutic Institute Of Bourbonnais Llc4183692577142

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. Benjamin S Roth allows following entities to bill medicare on his behalf.
Provider NameAthletic & Therapeutic Institute Of Bourbonnais Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1861503542
PECOS PAC ID: 4183692577
Enrollment ID: O20040923000220

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. Benjamin S 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
Benjamin S Roth,
790 Remington Blvd,
Bolingbrook, IL 60440-4909

Ph: () -		Benjamin S Roth,
200 E Cedar St Ste 3,
Le Roy, IL 61752-1903

Ph: (309) 962-3240

Reviews and Comments


Physical Therapist in Le Roy, IL

Autumn Gillibrand, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 200 E Cedar St, Suite C, Le Roy, IL 61752
Phone: 309-962-3240    Fax: 309-962-3243

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.