Kevin Daniel Roark, CRNA | |
801 E Sioux Ave, Pierre, SD 57501-3323 | |
(605) 224-3100 | |
(605) 224-8339 |
Full Name | Kevin Daniel Roark |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 801 E Sioux Ave, Pierre, South Dakota |
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 |
---|---|---|---|
1023398898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CR000762 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Avera St Mary's Hospital | Pierre, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avera St Marys | 0143134965 | 82 |
Entity Name | Avera St Marys |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
Entity Name | Avera Gettysburg |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1003887266 PECOS PAC ID: 4284619362 Enrollment ID: O20061104000319 |
Mailing Address | Practice Location Address |
---|---|
Kevin Daniel Roark, CRNA 801 E Sioux Ave, Pierre, SD 57501-3323 Ph: (605) 224-3100 | Kevin Daniel Roark, CRNA 801 E Sioux Ave, Pierre, SD 57501-3323 Ph: (605) 224-3100 |
Rita L Wendt, RNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 E Dakota Ave, Pierre, SD 57501 Phone: 605-224-3407 Fax: 605-224-3443 | |
Erica Trebesch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3100 | |
Christopher E Olson, RNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dakota Ave, Pierre, SD 57501 Phone: 605-224-3407 Fax: 605-224-3443 | |
Greg Jung, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mack Lane, Medical Associates Clinic,llp, Pierre, SD 57501 Phone: 605-224-5901 Fax: 605-945-5296 | |
Kevin Allen Yackley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3100 | |
Nick Paul Jung, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 |