Justin T Roach, APRN, NP-C | |
2051 N State St, Iola, KS 66749-1677 | |
(620) 380-6600 | |
Not Available |
Full Name | Justin T Roach |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2051 N State St, Iola, Kansas |
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 |
---|---|---|---|
1851950364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 53-78756-082 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fredonia Regional Hospital | Fredonia, KS | Hospital |
Neosho Memorial Regional Medical Center | Chanute, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Williams Medical Group Practice Llc | 3375832157 | 144 |
Southeast Kansas Mental Health Center | 3870562879 | 39 |
Entity Name | Southeast Kansas Mental Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467414771 PECOS PAC ID: 3870562879 Enrollment ID: O20040927001008 |
Entity Name | Williams Medical Group Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20160518000391 |
Mailing Address | Practice Location Address |
---|---|
Justin T Roach, APRN, NP-C 3015 N Michigan St, Pittsburg, KS 66762-2546 Ph: (620) 240-5607 | Justin T Roach, APRN, NP-C 2051 N State St, Iola, KS 66749-1677 Ph: (620) 380-6600 |
Mrs. Dena L Splitter, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1408 East Street, Iola, KS 66749 Phone: 620-365-3115 Fax: 620-365-7717 | |
Ms. Stacey Kale, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1408 East St, Iola, KS 66749 Phone: 620-365-3115 Fax: 620-365-7717 | |
Koralyn Dawn Barkman, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2051 N State St, Iola, KS 66749 Phone: 203-806-6006 Fax: 620-380-6215 | |
Annette Diane Vananne, ARNP, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2051 N State St, Iola, KS 66749 Phone: 620-380-6600 Fax: 620-380-6215 | |
Anissa Lynn Sell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3066 N Kentucky St, Iola, KS 66749 Phone: 620-365-1185 Fax: 620-365-1038 | |
Margaret L Lesher, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 S Washington Ave, Iola, KS 66749 Phone: 620-365-6933 Fax: 620-365-8126 | |
Rebecca A French, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2051 N State St, Iola, KS 66749 Phone: 888-777-9170 |