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Michelle Roth in Peru, Illinois

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Michelle Roth has Physician Assistant as her primary medical specialty. Their primary office is: 2200 Marquette Rd in Peru, Illinois. There are 4 additional office locations for Michelle Roth that can be viewed towards the end of their profile.

They're a part of the: Soderstrom Dermatology Center S C. medical group which has around 27 members. You can call their office at 815-224-7400 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2007 (around 17 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.


Michelle L Roth Office Phone and Directions

Michelle Roth
Soderstrom Dermatology Center S C.
2200 Marquette Rd
Peru, Illinois 61354
815-224-7400


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Phone: 815-224-7400


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Healthcare Info for Michelle Roth

Medical School: Sorry, her university is not listed
Graduation Year: 2007
The Primary Medical Specialty for Michelle Roth is listed as: Physician Assistant
Approximate Years of Experience: 17
PAC (PECOS ID)#: 8123115821
NPI #: 1477743813
NPI Created On: 08/01/2007
NPI Last Updated Listed as: 08/01/2007
Primary Taxonomy Code: 363A00000X
Listed Gender: Female

Procedures, Services, Charges


Services and Procedures include:

  1. Tangential biopsy of single skin lesion
  2. Tangential biopsy of additional skin lesion
  3. Punch biopsy of single skin lesion
  4. Removal of up to and including 15 skin tags
  5. Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs
  6. Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs
  7. Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals
  8. Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth
  9. Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth
  10. Destruction of skin growth
  11. Destruction of 2-14 skin growths
  12. Destruction of 15 or more skin growths
  13. Destruction of up to 14 skin growths
  14. Insertion of needle into vein for collection of blood sample
  15. Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
  16. Skin application of tar and ultraviolet b or petrolatum and ultraviolet b
  17. New patient office or other outpatient visit, typically 30 minutes
  18. Established patient office or other outpatient visit, typically 10 minutes
  19. Established patient office or other outpatient visit, typically 15 minutes
  20. Established patient office or other outpatient, visit typically 25 minutes

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $23

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 852021959

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Dermatology

Name of Drug #1: Ilumya

Open Associated Drug #1: 47335-177-95


Payments Total: $6

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 852021947

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Dermatology

Name of Drug #1: Ilumya

Open Associated Drug #1: 47335-177-95


Payments Total: $6

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 852021951

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Dermatology

Name of Drug #1: Ilumya

Open Associated Drug #1: 47335-177-95


Payments Total: $5

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 852021955

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Dermatology

Name of Drug #1: Ilumya

Open Associated Drug #1: 47335-177-95


Payments Total: $9

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 852021963

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Dermatology

Name of Drug #1: Ilumya

Open Associated Drug #1: 47335-177-95


Payments Total: $6

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 852021967

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Dermatology

Name of Drug #1: Ilumya

Open Associated Drug #1: 47335-177-95


Payments Total: $6

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 852021971

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Dermatology

Name of Drug #1: Ilumya

Open Associated Drug #1: 47335-177-95


Payments Total: $18

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 852021975

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Dermatology

Name of Drug #1: Ilumya

Open Associated Drug #1: 47335-177-95


Payments Total: $9

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 852021979

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Dermatology

Name of Drug #1: Ilumya

Open Associated Drug #1: 47335-177-95


Payments Total: $6

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 852021983

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Dermatology

Name of Drug #1: Ilumya

Open Associated Drug #1: 47335-177-95


Additional Office Locations

1. Soderstrom Dermatology Center S C.
60 S Soangetaha Rd
Galesburg, IL 61401
Group Members: 27

Phone: 815-224-7400

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2. Soderstrom Dermatology Center S C.
2300 A Park Ave
Muscatine, IA 52761
Group Members: 27

Phone: 815-224-7400

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3. Soderstrom Dermatology Center S C.
1800 E 54th St
Davenport, IA 52807
Suite B
Group Members: 27

Phone: 815-224-7400

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4. Soderstrom Dermatology Center S C.
4909 N Glen Park Place Rd
Peoria, IL 61614
Group Members: 27

Phone: 815-224-7400

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Physician Assistant Professionals in Peru

2200 Marquette Rd
Peru, IL
Soderstrom Dermatology Center S C.

1650 Midtown Rd
Peru, IL
Mendota Community Hospital

2200 Marquette Rd
Peru, IL
Soderstrom Dermatology Center S C.

2200 Marquette Rd
Peru, IL
Soderstrom Dermatology Center S C.

920 W St
Peru, IL
Illinois Urologic Health Surgeons Sc

1650 Midtown Rd
Peru, IL
Mendota Community Hospital

Providers in Soderstrom Dermatology Center S C.

1.Stuart Berryman

2200 Marquette Rd
Peru Il 61354-1547
Soderstrom Dermatology Center S C.
Physician Assistant

2.Stuart Berryman

4909 N Glen Park Place Rd
Peoria Il 61614-4676
Soderstrom Dermatology Center S C.
Physician Assistant

3.Clarence Brown

2200 Marquette Rd
Peru Il 61354-1547
Soderstrom Dermatology Center S C.
Dermatology

4.Clarence Brown

4909 N Glen Park Place Rd
Peoria Il 61614-4676
Soderstrom Dermatology Center S C.
Dermatology

5.Lindsay Dail

2027 S 21st St
Clinton Ia 52732-6683
Soderstrom Dermatology Center S C.
Nurse Practitioner

6.Lindsay Dail

1302 7th St
Moline Il 61265-2900
Soderstrom Dermatology Center S C.
Nurse Practitioner

View all 27 members of Soderstrom Dermatology Center S C. medical group