| Ms Renee L Roth, CNP | |
|
8881 N Main St, Dayton, OH 45415-1333 | |
| (937) 293-1622 | |
| (937) 245-6308 |
| Full Name | Ms Renee L Roth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 8881 N Main St, Dayton, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295975266 | NPI | - | NPPES |
| 000000611757 | Other | OH | ANTHEM |
| 2983802 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2100X | Clinical Nurse Specialist - Acute Care | COA10617NP (Ohio) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.10617 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital | Coos bay, OR | Hospital |
| Columbia Memorial Hospital | Astoria, OR | Hospital |
| Curry General Hospital | Gold beach, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Area Hospital District | 2163331000 | 100 |
| Entity Name | Columbia Lutheran Charities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20040202000073 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Renee L Roth, CNP 6680 Poe Ave Ste 200, Dayton, OH 45414-2855 Ph: (937) 280-8400 | Ms Renee L Roth, CNP 8881 N Main St, Dayton, OH 45415-1333 Ph: (937) 293-1622 |
David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603 | |
Kimberly Kay Myers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459 Phone: 937-224-8200 Fax: 937-224-1770 | |
Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949 | |
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861 | |
Chasity Rene Lemons, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4160 Little York Rd Ste 20, Dayton, OH 45414 Phone: 937-454-9527 | |
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357 |