Mrs Shosty Sue Roth, PA-C is a medicare enrolled "Physician Assistant" physician in Duluth, Minnesota. Her current practice location is
332 W Superior St, Suite 300, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 722-4379.
Mrs Shosty Sue Roth is licensed to practice in Minnesota (license number 10742) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740511831.
Physician's Profile
| Full Name | Mrs Shosty Sue Roth |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 332 W Superior St, Duluth, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Shosty Sue Roth attended and graduated from in
NPI Data:
- NPI Number: 1740511831
- Provider Enumeration Date: 01/29/2010
- Last Update Date: 05/31/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10742 (Minnesota) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 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
4119 Grant Valley Rd Nw,
Bemidji, MN 56601-5370
Ph: (218) 403-1260 | Mrs Shosty Sue Roth, PA-C
332 W Superior St, Suite 300,
Duluth, MN 55802-1808
Ph: (218) 722-4379 |
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