Dr Justin Stephan Roth, DO - Medicare Orthopedic Surgery in Meridian, ID

Dr Justin Stephan Roth, DO is a medicare enrolled "Orthopaedic Surgery - Pediatric Orthopaedic Surgery" physician in Meridian, Idaho. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 3399 E Louise Dr Ste 200, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 706-2663.

Dr Justin Stephan Roth is licensed to practice in Idaho (license number O-1847) 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 1306109954.

Contact Information

Dr Justin Stephan Roth, DO
3399 E Louise Dr Ste 200,
Meridian, ID 83642-5212
(208) 706-2663
Not Available



Physician's Profile

Full NameDr Justin Stephan Roth
GenderMale
SpecialityOrthopedic Surgery
Experience12 Years
Location3399 E Louise Dr Ste 200, Meridian, Idaho
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 Justin Stephan Roth graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1306109954
  • Provider Enumeration Date: 06/19/2012
  • Last Update Date: 07/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850660531
  • Enrollment ID: I20230809002645

Medical Identifiers

Medical identifiers for Dr Justin Stephan Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306109954NPI-NPPES
500746847MedicaidOR
187405OtherOROREGON MEDICAL BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery O-1847 (Idaho)Primary
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery 187405 (Oregon)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402968

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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 Justin Stephan Roth allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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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 Justin Stephan 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 Justin Stephan Roth, DO
190 E Bannock St,
Boise, ID 83712-6241

Ph: () -
Dr Justin Stephan Roth, DO
3399 E Louise Dr Ste 200,
Meridian, ID 83642-5212

Ph: (208) 706-2663

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Orthopaedic Surgery Doctors in Meridian, ID

Jesse Dylan Chlebeck, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 875 S Vanguard Way, Meridian, ID 83642
Phone: 208-463-3000    
William Daniel Bradley, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 875 S Vanguard Way Ste 200, Meridian, ID 83642
Phone: 208-463-3000    
Louis Horst Poppler, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642
Phone: 208-364-3000    
Mikayla Lynn Taugher, PA-C
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2365 E Gala St Ste 1, Meridian, ID 83642
Phone: 208-515-2654    
Dr. Paul Calvin Collins, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 3875 E Overland Rd, Meridian, ID 83642
Phone: 208-287-0203    Fax: 208-288-5490
Dr. Thomas Earl Goodwin, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3025 W Cherry Ln Ste 205, Meridian, ID 83642
Phone: 208-302-3500    Fax: 208-302-3555

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