Christine Sue Roth, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Decorah, IA

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Christine Sue Roth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Decorah, Iowa. She graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Divine Savior Healthcare Inc and her current practice location is 901 Montgomery St, Decorah, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 382-2911.

Christine Sue Roth is licensed to practice in Iowa (license number D102488) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114972858.

Contact Information

Christine Sue Roth, CRNA
901 Montgomery St,
Decorah, IA 52101-2325
(563) 382-2911
(563) 387-3102

Map and Direction




Provider's Profile

Full NameChristine Sue Roth
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location901 Montgomery St, Decorah, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Christine Sue Roth graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1114972858
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2769494954
  • Enrollment ID: I20150909003007

Medical Identifiers

Medical identifiers for Christine Sue Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114972858NPI-NPPES
1114972858MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered D102488 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Divine Savior HealthcarePortage, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Divine Savior Healthcare Inc579968400794

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christine Sue Roth allows following entities to bill medicare on her behalf.
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909
Entity NameRichland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659301273
PECOS PAC ID: 7618861618
Enrollment ID: O20040417000343
Entity NameTomah Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992970453
PECOS PAC ID: 6901897016
Enrollment ID: O20040519000123
Entity NameVernon Memorial Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497750921
PECOS PAC ID: 8325958416
Enrollment ID: O20050526000095
Entity NameVituity-wisconsin Anesthesia Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821831975
PECOS PAC ID: 2163968819
Enrollment ID: O20240718002237

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. Christine Sue 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 AddressPractice 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

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Decorah, IA

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.