| Dr Robert Roach, MD | |
|
11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 | |
| (763) 427-1137 | |
| Not Available |
| Full Name | Dr Robert Roach |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 11850 Blackfoot St Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114966637 | NPI | - | NPPES |
| 263063000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 36196 (Minnesota) | Primary |
| Entity Name | Metropolitan Neurosurgery Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386690543 PECOS PAC ID: 7214930254 Enrollment ID: O20060814000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Roach, MD 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 Ph: (763) 427-1137 | Dr Robert Roach, MD 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 Ph: (763) 427-1137 |
Dr. Kyle Shaune Nelson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433 Phone: 763-427-1137 | |
Hart Phillip Garner, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433 Phone: 763-427-1137 Fax: 763-427-4643 |