| Lincoln R Roth, CRNA | |
|
200 Bunker Hill Dr, Aitkin, MN 56431-1865 | |
| (218) 927-5522 | |
| Not Available |
| Full Name | Lincoln R Roth |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 200 Bunker Hill Dr, Aitkin, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225063936 | NPI | - | NPPES |
| 460224743-48 | Medicaid | NE | |
| 5754210 | Medicaid | SD | |
| 0585463 | Medicaid | IA | |
| 5754214 | Medicaid | SD | |
| 415T5RO | Other | MN | MN BLUE CROSS BS |
| 4995584 | Other | SD | BLUE CROSS OF SD |
| 871418500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R030067 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverwood Healthcare Center | Aitkin, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aitkin Community Hospital Inc | 4981514692 | 67 |
| Entity Name | Aitkin Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942277835 PECOS PAC ID: 4981514692 Enrollment ID: O20031107000093 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Perham Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182 |
| Entity Name | Ely-bloomenson Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770542904 PECOS PAC ID: 0042200040 Enrollment ID: O20040513000074 |
| Entity Name | Cuyuna Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861414518 PECOS PAC ID: 9537146550 Enrollment ID: O20040707000501 |
| Entity Name | Brainerd Lakes Surgery Center L L C |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1750378295 PECOS PAC ID: 5395782213 Enrollment ID: O20050412001404 |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln R Roth, CRNA 200 Bunker Hill Dr, Aitkin, MN 56431-1865 Ph: (218) 927-5522 | Lincoln R Roth, CRNA 200 Bunker Hill Dr, Aitkin, MN 56431-1865 Ph: (218) 927-5522 |
John Wesley Ziebarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-5522 | |
Kathryn E. Ziebarth, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-2121 Fax: 218-927-4130 |