| Nicole Marie Roach, PA-C | |
|
100 Gore Rd, Morris, IL 60450-9466 | |
| (815) 364-8919 | |
| Not Available |
| Full Name | Nicole Marie Roach |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 100 Gore Rd, Morris, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902378821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12900 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 085008719 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Roach, PA-C 15300 Grove Cir N, Maple Grove, MN 55369-4469 Ph: (218) 343-5081 | Nicole Marie Roach, PA-C 100 Gore Rd, Morris, IL 60450-9466 Ph: (815) 364-8919 |
Kate-lynn M Olson-geier, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 W High St, Morris, IL 60450 Phone: 815-942-2932 | |
Matthew Bruno, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 W High St, Morris, IL 60450 Phone: 815-942-2932 | |
Rachel L Colby, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1051 W Us Route 6, Morris, IL 60450 Phone: 815-942-4875 | |
Mrs. Courtney Ann Kelly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1345 Edwards St Ste 2, Morris, IL 60450 Phone: 815-942-1421 Fax: 815-488-2033 | |
Carolyn M Conaway, P.A.C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1051 W Us Route 6, Suite 100, Morris, IL 60450 Phone: 815-942-4875 Fax: 815-942-5046 | |
Kathleen T. Rogowski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1051 W Us Route 6, Suite 100, Morris, IL 60450 Phone: 815-942-4875 Fax: 815-942-5046 | |
Lukas Jakubonis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1051 W Us Route 6 Ste 100, Morris, IL 60450 Phone: 815-942-4875 Fax: 815-942-5046 |