Mr Michael Andrew Roth, CAA - Medicare Anesthesiology Assistant in Blue Springs, MO

Mr Michael Andrew Roth, CAA is a medicare enrolled "Anesthesiologist Assistant" in Blue Springs, Missouri. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Florida Clinical Practice Association and his current practice location is 201 Nw R D Mize Rd, Blue Springs, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 228-5900.

Mr Michael Andrew Roth is licensed to practice in Missouri (license number 2017017852) 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 1255860029.

Contact Information

Mr Michael Andrew Roth, CAA
201 Nw R D Mize Rd,
Blue Springs, MO 64014-2513
(816) 228-5900
Not Available



Provider's Profile

Full NameMr Michael Andrew Roth
GenderMale
SpecialityAnesthesiology Assistant
Experience7 Years
Location201 Nw R D Mize Rd, Blue Springs, Missouri
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:
  • Mr Michael Andrew Roth graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1255860029
  • Provider Enumeration Date: 06/06/2017
  • Last Update Date: 12/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7719250547
  • Enrollment ID: I20220601002398

Medical Identifiers

Medical identifiers for Mr Michael Andrew Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255860029NPI-NPPES
58303041OtherMOBCBS KC
P02320854OtherMORAILROAD
1255860029MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 2017017852 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uf Health Shands HospitalGainesville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Clinical Practice Association03451462541636

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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. Mr Michael Andrew Roth allows following entities to bill medicare on his behalf.
Entity NameFlorida Clinical Practice Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099

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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. Mr Michael Andrew 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
Mr Michael Andrew Roth, CAA
3645 Nw Blue Jacket Dr,
Lees Summit, MO 64064-3017

Ph: () -
Mr Michael Andrew Roth, CAA
201 Nw R D Mize Rd,
Blue Springs, MO 64014-2513

Ph: (816) 228-5900

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Anesthesiologist Assistant Nurses in Blue Springs, MO


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