Mrs Shosty Sue Roth, PA-C in Brainerd, MN - Medicare Physician Assistant

Mrs Shosty Sue Roth, PA-C is a medicare enrolled "Physician Assistant" in Brainerd, Minnesota. Her current practice location is 2215 S 6th St, Brainerd, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 454-1010.

Mrs Shosty Sue Roth is licensed to practice in Minnesota (license number 10742) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740511831.

Contact Information

	Mrs Shosty Sue Roth, PA-C
	2215 S 6th St, Brainerd, MN 56401-5512
	(218) 454-1010
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shosty Sue Roth
Gender	Female
Speciality	Physician Assistant
Location	2215 S 6th St, Brainerd, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740511831
Provider Enumeration Date: 01/29/2010
Last Update Date: 11/05/2025

Medicare PECOS Information:

PECOS PAC ID: 5799970760
Enrollment ID: I20101116000873

Medical Identifiers

Medical identifiers for Mrs Shosty Sue Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740511831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10742 (Minnesota)	Primary

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. Mrs Shosty 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 Address	Practice Location Address
Mrs Shosty Sue Roth, PA-C 2215 S 6th St, Brainerd, MN 56401-5512 Ph: (218) 454-1010	Mrs Shosty Sue Roth, PA-C 2215 S 6th St, Brainerd, MN 56401-5512 Ph: (218) 454-1010

Reviews and Comments

Physician Assistant Nurses in Brainerd, MN

Angela Dawn Paul, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 8655 Saint Mathias Rd, Brainerd, MN 56401 Phone: 303-507-6906
Melisa L Palmer, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861
Megan Nicole Marlatt Kempf, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2014 S 6th St, Brainerd, MN 56401 Phone: 218-829-7812 Fax: 218-829-9751
Ms. Jessica R Brandl, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Ste 3, Brainerd, MN 56401 Phone: 218-828-7100
Daniel P Boll, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100
Amanda Niemann, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100
Lisa Marie Sand, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2014 S 6th St, Brainerd, MN 56401 Phone: 218-829-7812

Mrs Shosty Sue Roth, PA-C - Medicare Physician Assistant in Brainerd, MN