Christine Sue Roth, CRNA | |
901 Montgomery St, Decorah, IA 52101-2325 | |
(563) 382-2911 | |
(563) 387-3102 |
Full Name | Christine Sue Roth |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 901 Montgomery St, Decorah, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114972858 | NPI | - | NPPES |
1114972858 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D102488 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vernon Memorial Hospital | Viroqua, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vernon Memorial Healthcare Inc | 8325958416 | 56 |
Entity Name | Richland Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20040417000343 |
Entity Name | Tomah Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
Entity Name | Vernon Memorial Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497750921 PECOS PAC ID: 8325958416 Enrollment ID: O20050526000095 |
Mailing Address | Practice Location Address |
---|---|
Christine Sue Roth, CRNA 901 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-2911 | Christine Sue Roth, CRNA 901 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-2911 |
Benjamin Avi Levinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 | |
Lydia Adams, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 | |
Bill Tisue, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 319-382-2911 |