| Lucas B Roth, PA-C | |
|
6000 N Allen Rd, Peoria, IL 61614-3294 | |
| (309) 691-1400 | |
| (309) 693-3197 |
| Full Name | Lucas B Roth |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 6000 N Allen Rd, Peoria, Illinois |
| 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 |
|---|---|---|---|
| 1083124846 | NPI | - | NPPES |
| 085006385 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085006385 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Proctor Hospital | Peoria, IL | Hospital |
| Pekin Memorial Hospital | Pekin, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Orthopaedic Center S C | 8022917715 | 40 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas B Roth, PA-C 6000 N Allen Rd, Peoria, IL 61614-3294 Ph: (309) 691-1400 | Lucas B Roth, PA-C 6000 N Allen Rd, Peoria, IL 61614-3294 Ph: (309) 691-1400 |
Ms. Courtney M Jaegle, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606 Phone: 309-672-4670 Fax: 309-672-4669 | |
Jacob Clark, Physician Assistant Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Natalie Patty, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 | |
Rob Wimmer, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 | |
Benjamin Richard Tellier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 723 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-624-8749 Fax: 309-624-8870 | |
Abigail Rose Sutton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 Fax: 309-676-5045 | |
Richard S Seaboch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5405 N Knoxville Ave, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830 |