| Sonja M Roach, NP | |
|
4570 County Highway 61, Moose Lake, MN 55767 | |
| (218) 485-4491 | |
| (218) 485-4724 |
| Full Name | Sonja M Roach |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 4570 County Highway 61, Moose Lake, Minnesota |
| 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 |
|---|---|---|---|
| 1396770772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R 147424-0 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Moose Lake | Moose lake, MN | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Essentia Health Sandstone | Sandstone, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gateway Family Health Clinic, Ltd. | 6305758657 | 18 |
| Entity Name | Gateway Family Health Clinic, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891748042 PECOS PAC ID: 6305758657 Enrollment ID: O20031104000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Sonja M Roach, NP 4570 County Highway 61, Moose Lake, MN 55767 Ph: (218) 485-4491 | Sonja M Roach, NP 4570 County Highway 61, Moose Lake, MN 55767 Ph: (218) 485-4491 |
Faith A. Manty, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-485-4481 Fax: 218-485-5866 | |
Tanya Eiffler, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 Fax: 651-431-7631 | |
Jonathan Franklin Klingaman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 | |
Genevieve M Swenson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 | |
Keri Ann Ovsak, RN, MA, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 Fax: 218-565-6240 | |
Mr. Gregory Raymond Larson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-785-2015 |