Sonja M Roach, NP | |
4570 County Highway 61, Moose Lake, MN 55767 | |
(218) 485-4491 | |
(218) 485-4724 |
Full Name | Sonja M Roach |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 4570 County Highway 61, Moose Lake, Minnesota |
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 |
---|---|---|---|
1396770772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R 147424-0 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Home Health Agency | Moose lake, MN | Home health agency |
Essentia Health Moose Lake | Moose lake, MN | Hospital |
Essentia Health Sandstone | Sandstone, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gateway Family Health Clinic, Ltd. | 6305758657 | 20 |
Entity Name | Gateway Family Health Clinic, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891748042 PECOS PAC ID: 6305758657 Enrollment ID: O20031104000556 |
Mailing Address | Practice Location Address |
---|---|
Sonja M Roach, NP 4570 County Highway 61, Moose Lake, MN 55767 Ph: (218) 485-4491 | Sonja M Roach, NP 4570 County Highway 61, Moose Lake, MN 55767 Ph: (218) 485-4491 |
Faith A. Manty, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-485-4481 Fax: 218-485-5866 | |
Jonathan Franklin Klingaman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 | |
Genevieve M Swenson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 | |
Keri Ann Ovsak, RN, MA, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 Fax: 218-565-6240 | |
Mr. Gregory Raymond Larson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-785-2015 |