G&j Roth Prof Corp. - Medicare Primary Care in Clovis, CA

G&j Roth Prof Corp. is a medicare enrolled primary clinic (Family Medicine) in Clovis, California. The current practice location for G&j Roth Prof Corp. is 255 W Bullard Ave Ste 102, Clovis, California. For appointments, you can reach them via phone at (559) 299-2128. The mailing address for G&j Roth Prof Corp. is 255 W Bullard Ave Ste 102, Clovis, California and phone number is (559) 299-2128.

G&j Roth Prof Corp. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225250087. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (559) 299-2128.

Contact Information

G&j Roth Prof Corp.
255 W Bullard Ave Ste 102
Clovis
CA 93612-0861
(559) 299-2128
(559) 299-3494

Primary Care Clinic Profile

Full NameG&j Roth Prof Corp.
SpecialityFamily Medicine
Location255 W Bullard Ave Ste 102, Clovis, California
Authorized Official Name and PositionTimothy J Roth (OWNER/PHYSICIAN)
Authorized Official Contact5592992128
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
G&j Roth Prof Corp.
255 W Bullard Ave Ste 102
Clovis
CA 93612-0861

Ph: (559) 299-2128
G&j Roth Prof Corp.
255 W Bullard Ave Ste 102
Clovis
CA 93612-0861

Ph: (559) 299-2128

NPI Details:

NPI Number1225250087
Provider Enumeration Date05/02/2007
Last Update Date10/05/2010

Medicare PECOS Information:

Medicare PECOS PAC ID2163519182
Medicare Enrollment IDO20071107000320

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Medical Identifiers

Medical identifiers for G&j Roth Prof Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225250087NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. G&j Roth Prof Corp. acts as a billing entity for following providers:
Provider NameTimothy J Roth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144213604
PECOS PAC ID: 2264469725
Enrollment ID: I20050726001011

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