Lincoln R Roth, CRNA | |
200 Bunker Hill Dr, Aitkin, MN 56431-1865 | |
(218) 927-5522 | |
Not Available |
Full Name | Lincoln R Roth |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 200 Bunker Hill Dr, Aitkin, Minnesota |
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 |
---|---|---|---|
1225063936 | NPI | - | NPPES |
460224743-48 | Medicaid | NE | |
5754210 | Medicaid | SD | |
0585463 | Medicaid | IA | |
5754214 | Medicaid | SD | |
415T5RO | Other | MN | MN BLUE CROSS BS |
4995584 | Other | SD | BLUE CROSS OF SD |
871418500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R030067 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverwood Healthcare Center | Aitkin, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aitkin Community Hospital Inc | 4981514692 | 66 |
Entity Name | Aitkin Community Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942277835 PECOS PAC ID: 4981514692 Enrollment ID: O20031107000093 |
Entity Name | Range Regional Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
Entity Name | Perham Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182 |
Entity Name | Ely-bloomenson Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770542904 PECOS PAC ID: 0042200040 Enrollment ID: O20040513000074 |
Entity Name | Moose Lake Community Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942398029 PECOS PAC ID: 5991616997 Enrollment ID: O20040519000577 |
Entity Name | Cuyuna Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861414518 PECOS PAC ID: 9537146550 Enrollment ID: O20040707000501 |
Entity Name | Brainerd Lakes Surgery Center L L C |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1750378295 PECOS PAC ID: 5395782213 Enrollment ID: O20050412001404 |
Mailing Address | Practice Location Address |
---|---|
Lincoln R Roth, CRNA 200 Bunker Hill Dr, Aitkin, MN 56431-1865 Ph: (218) 927-5522 | Lincoln R Roth, CRNA 200 Bunker Hill Dr, Aitkin, MN 56431-1865 Ph: (218) 927-5522 |
John Wesley Ziebarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-5522 | |
Kathryn E. Ziebarth, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-2121 Fax: 218-927-4130 |