Gretchen Roth, MD - Medicare Dermatology in Wauwatosa, WI

Gretchen Roth, MD is a medicare enrolled "Dermatology" physician in Wauwatosa, Wisconsin. She went to Vanderbilt University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice The Medical College Of Wisconsin Inc, Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and her current practice location is 10000 W Bluemound Rd, Wauwatosa, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 454-4321.

Gretchen Roth is licensed to practice in Wisconsin (license number 69129) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912311614.

Contact Information

Gretchen Roth, MD
10000 W Bluemound Rd,
Wauwatosa, WI 53226-4321
(414) 454-4321
(414) 805-3808



Physician's Profile

Full NameGretchen Roth
GenderFemale
SpecialityDermatology
Experience10 Years
Location10000 W Bluemound Rd, Wauwatosa, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gretchen Roth attended and graduated from Vanderbilt University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1912311614
  • Provider Enumeration Date: 06/20/2014
  • Last Update Date: 07/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729206461
  • Enrollment ID: I20180808003853

Medical Identifiers

Medical identifiers for Gretchen Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912311614NPI-NPPES
1912311614MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 69129 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Froedtert Memorial Lutheran HospitalMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Medical College Of Wisconsin Inc26683843711813
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc36787600631040

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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. Gretchen Roth allows following entities to bill medicare on her behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699

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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. Gretchen 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
Gretchen Roth, MD
10000 W Bluemound Rd,
Wauwatosa, WI 53226-4321

Ph: (414) 454-4321
Gretchen Roth, MD
10000 W Bluemound Rd,
Wauwatosa, WI 53226-4321

Ph: (414) 454-4321

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Dermatology Doctors in Wauwatosa, WI

Julia Marian Kasprzak, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226
Phone: 414-454-8000    Fax: 414-805-3808
Dr. Melanie Anne Clark, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226
Phone: 414-454-8000    Fax: 414-805-3808
Keri Chaney, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226
Phone: 414-454-8000    Fax: 414-805-3808
Keely Marshall, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226
Phone: 414-454-8000    Fax: 414-805-3808
Daniel Raymond Knabel, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226
Phone: 414-454-8000    Fax: 414-805-3808
Dr. James H Barnett, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2600 N Mayfair Rd, Suite 810, Wauwatosa, WI 53226
Phone: 414-771-1122    
Dr. Valerie Margaret Carlberg, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226
Phone: 414-454-8000    Fax: 414-805-3808

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