Elisa Roth, LMHC | |
1225 S Gear Ave, West Burlington, IA 52655-1691 | |
(319) 850-3443 | |
Not Available |
Full Name | Elisa Roth |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1225 S Gear Ave, West Burlington, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629464102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1691 (Iowa) | Primary |
Entity Name | Southeast Iowa Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
Mailing Address | Practice Location Address |
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Elisa Roth, LMHC 1225 S Gear Ave, West Burlington, IA 52655-1691 Ph: (319) 850-3443 | Elisa Roth, LMHC 1225 S Gear Ave, West Burlington, IA 52655-1691 Ph: (319) 850-3443 |
Richard E Whitaker, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 S Gear Ave, Ste 252, West Burlington, IA 52655 Phone: 319-768-3700 Fax: 319-768-3712 | |
Mrs. Linda Ells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1221 S Gear Ave, Mercy Plaza Suite 251, West Burlington, IA 52655 Phone: 319-768-3731 Fax: 319-768-3712 | |
Mr. Robert Emerson Willbee Iii, PSY.D. Counselor Medicare: Medicare Enrolled Practice Location: 1225 S Gear Ave, Suite 251, West Burlington, IA 52655 Phone: 319-768-3700 | |
Mrs. Audrey Eva Cook, Counselor Medicare: Medicare Enrolled Practice Location: 1225 S Gear Ave, Mercy Plaza, Suite 251, West Burlington, IA 52655 Phone: 319-768-3700 Fax: 319-768-3712 | |
James Towlerton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 S Gear Ave, Mercy Plaza Suite 251, West Burlington, IA 52655 Phone: 319-768-3700 | |
Marsha Dace, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 S Gear Ave, Ste 252, West Burlington, IA 52655 Phone: 319-768-3700 Fax: 319-768-3712 |