Megan Roth, | |
1111 Delafield St Ste 215, Waukesha, WI 53188-3403 | |
(262) 542-2594 | |
Not Available |
Full Name | Megan Roth |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 1111 Delafield St Ste 215, Waukesha, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952739351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5555-33 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Healtheast St John's Hospital | Maplewood, MN | Hospital |
University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healtheast Medical Research Institute | 3971407636 | 517 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Mailing Address | Practice Location Address |
---|---|
Megan Roth, 1111 Delafield St Ste 215, Waukesha, WI 53188-3403 Ph: (262) 542-2594 | Megan Roth, 1111 Delafield St Ste 215, Waukesha, WI 53188-3403 Ph: (262) 542-2594 |
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