Mrs Samantha Telarroja Roth, PA-C in Gulfport, MS - Medicare Physician Assistant

Mrs Samantha Telarroja Roth, PA-C is a medicare enrolled "Physician Assistant" in Gulfport, Mississippi. Her current practice location is 4500 13th St, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 575-2074.

Mrs Samantha Telarroja Roth is licensed to practice in Mississippi (license number PA00496) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528504768.

Contact Information

	Mrs Samantha Telarroja Roth, PA-C
	4500 13th St, Gulfport, MS 39501-2515
	(228) 575-2074
	Not Available

Provider's Profile

Full Name	Mrs Samantha Telarroja Roth
Gender	Female
Speciality	Physician Assistant
Location	4500 13th St, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528504768
Provider Enumeration Date: 01/11/2017
Last Update Date: 05/20/2022

Medicare PECOS Information:

PECOS PAC ID: 1052694007
Enrollment ID: I20170216002748

Medical Identifiers

Medical identifiers for Mrs Samantha Telarroja Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528504768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA00496 (Mississippi)	Primary

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. Mrs Samantha Telarroja 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 Address	Practice Location Address
Mrs Samantha Telarroja Roth, PA-C 4500 13th St, Gulfport, MS 39501-2515 Ph: () -	Mrs Samantha Telarroja Roth, PA-C 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 575-2074

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Physician Assistant Nurses in Gulfport, MS

Mrs. Amanda Leblanc Harris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11295 E Taylor Rd, Gulfport, MS 39503 Phone: 228-864-3300 Fax: 228-864-3333
Wesley Armstrong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Jessica Lofton, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5502 Marvin Shields Blvd, Gulfport, MS 39501 Phone: 228-822-5770
Regal Cox, CST, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Kassie Stafford, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11295 E Taylor Rd, Gulfport, MS 39503 Phone: 228-864-3300 Fax: 228-864-3333
John Miyakawa, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12337 Ashley Dr, Suite F, Gulfport, MS 39503 Phone: 228-365-6932
Thuy T Tran, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 431 Security Sq, Gulfport, MS 39507 Phone: 985-643-4575 Fax: 833-222-4520

Mrs Samantha Telarroja Roth, PA-C - Medicare Physician Assistant in Gulfport, MS