Gary Scott Roth, CRNA | |
211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | |
(573) 331-3000 | |
(913) 341-5797 |
Full Name | Gary Scott Roth |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 211 Saint Francis Dr, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386607471 | NPI | - | NPPES |
110375 | Other | MO | HEALTH LINK |
166636 | Other | MO | BCBS |
105555 | Other | MO | HEALTH ALLIANCE |
237246265401 | Medicaid | IL | |
A156 | Other | MO | CHAMPUS TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 139505 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Cape girardeau, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Francis Medical Center | 9931007929 | 387 |
Entity Name | Saint Francis Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
Entity Name | Dps Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649339607 PECOS PAC ID: 6901900075 Enrollment ID: O20070329000159 |
Mailing Address | Practice Location Address |
---|---|
Gary Scott Roth, CRNA 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 Ph: (573) 331-3000 | Gary Scott Roth, CRNA 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 Ph: (573) 331-3000 |
Jill Christine Benton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1953 Randol Ave, Cape Girardeau, MO 63701 Phone: 573-382-4785 | |
Giuseppe Galati, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5150 Fax: 573-331-5026 | |
Stephen E Dailey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000 Fax: 913-341-5797 | |
Kourtney Hartwell, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 | |
Billy Harold Garner, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000 Fax: 913-341-5797 | |
Mr. Eric Jerome Pruemer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 Fax: 573-651-5868 | |
Brittany Ann Richardson, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 |