Karla Jean Roth, MD - Medicare Family Practice in De Pere, WI

Karla Jean Roth, MD is a medicare enrolled "Family Medicine" physician in De Pere, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and her current practice location is 3860 Monroe Rd, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Karla Jean Roth is licensed to practice in Wisconsin (license number 37108) 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 1508890971.

Contact Information

Karla Jean Roth, MD
3860 Monroe Rd,
De Pere, WI 54115-8399
(920) 496-4700
(920) 431-1967



Physician's Profile

Full NameKarla Jean Roth
GenderFemale
SpecialityFamily Practice
Experience32 Years
Location3860 Monroe Rd, De Pere, 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:
  • Karla Jean Roth attended and graduated from University Of Wisconsin School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1508890971
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 09/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8022006097
  • Enrollment ID: I20040506000438

Medical Identifiers

Medical identifiers for Karla Jean Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508890971NPI-NPPES
32183200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 37108 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Unity HospiceDe pere, WIHospice
St Vincent HospitalGreen bay, WIHospital
Osf St Francis Hospital And Medical GroupEscanaba, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis5799694675562

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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. Karla Jean Roth allows following entities to bill medicare on her behalf.
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034

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Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689694911
PECOS PAC ID: 5799694675
Enrollment ID: O20040126000012

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Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172

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Entity NameSt Mary's Hospital Medical Center Of Green Bay Inc-hospital Sisters
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649246877
PECOS PAC ID: 7719871268
Enrollment ID: O20040614000794

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Entity NameSt Clare Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851477913
PECOS PAC ID: 0446211395
Enrollment ID: O20041023000037

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Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

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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. Karla Jean 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
Karla Jean Roth, MD
3860 Monroe Rd,
De Pere, WI 54115-8399

Ph: (920) 496-4700
Karla Jean Roth, MD
3860 Monroe Rd,
De Pere, WI 54115-8399

Ph: (920) 496-4700

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Family Medicine Doctors in De Pere, WI

Manisha Chaturvedi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1881 Chicago St, De Pere, WI 54115
Phone: 920-403-8000    
Lesley J Kieffer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Lawrence Dr, De Pere, WI 54115
Phone: 920-983-3220    
Dr. Scott M Stillwell, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Heritage Rd Ste A, De Pere, WI 54115
Phone: 920-605-3115    Fax: 920-486-6826
Stephen Raymond Perry, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3860 Monroe Rd, De Pere, WI 54115
Phone: 920-496-4700    Fax: 920-431-1967
Michael J Hodulik, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Lawrence Dr, De Pere, WI 54115
Phone: 920-983-3220    Fax: 920-983-3226
James J Joyce, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1716 Lawrence Dr, De Pere, WI 54115
Phone: 920-605-3115    Fax: 920-486-6826
Christine Ripp, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3860 Monroe Rd, De Pere, WI 54115
Phone: 920-496-4700    

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