Dr John G Roth, MD - Medicare Dermatology in Lexington, KY

Dr John G Roth, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Lexington, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Modern Dermatology Of Kentucky Llc and his current practice location is 177 Burt Rd, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 276-1511.

Dr John G Roth is licensed to practice in Kentucky (license number 28647) 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 1134193212.

Contact Information

Dr John G Roth, MD
177 Burt Rd,
Lexington, KY 40503-2410
(859) 276-1511
(859) 276-3373



Physician's Profile

Full NameDr John G Roth
GenderMale
SpecialityDermatology
Experience36 Years
Location177 Burt Rd, Lexington, Kentucky
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:
  • Dr John G Roth attended and graduated from University Of Louisville School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1134193212
  • Provider Enumeration Date: 02/15/2006
  • Last Update Date: 01/06/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9133315773
  • Enrollment ID: I20101122001273

Medical Identifiers

Medical identifiers for Dr John G Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134193212NPI-NPPES
64286479MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207NS0135XDermatology - Procedural Dermatology 28647 (Kentucky)Primary
207N00000XDermatology 28647 (Kentucky)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Modern Dermatology Of Kentucky Llc549616630813

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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. Dr John G Roth allows following entities to bill medicare on his behalf.
Entity NameKentucky Dermatology And Skin Cancer Clinic, Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831310390
PECOS PAC ID: 3274529185
Enrollment ID: O20040423001297

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Entity NameModern Dermatology Of Kentucky Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699382507
PECOS PAC ID: 5496166308
Enrollment ID: O20201125001868

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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. Dr John G 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
Dr John G Roth, MD
177 Burt Rd,
Lexington, KY 40503-2410

Ph: (859) 276-1511
Dr John G Roth, MD
177 Burt Rd,
Lexington, KY 40503-2410

Ph: (859) 276-1511

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Dermatology Doctors in Lexington, KY

Charlie Becknell, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 250 Fountain Ct, Lexington, KY 40509
Phone: 859-263-4444    Fax: 859-254-1814
Leigh Ann Carter Beard, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 715 Shaker Dr Ste 132, Lexington, KY 40504
Phone: 859-288-5004    Fax: 859-288-5007
Dr. Dana Black, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3475 Richmond Rd, Suite 200, Lexington, KY 40509
Phone: 859-296-4400    Fax: 859-296-4300
Dr. Sean A Marzolf, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 250 Fountain Ct, Lexington, KY 40509
Phone: 859-263-4444    Fax: 859-263-6781
Dr. Tandy Sutton Repass, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3475 Richmond Rd Ste 200, Lexington, KY 40509
Phone: 859-296-4400    
Dr. Clifton Smith, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 177 Burt Rd, Lexington, KY 40503
Phone: 859-276-1511    Fax: 859-276-3373
Deborah K Phillips, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4071 Tates Creek Centre Dr Ste 202, Lexington, KY 40517
Phone: 859-226-0206    

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