Theresa Lynne Roth, CRNA | |
200 E State St, Alliance, OH 44601-4936 | |
(330) 286-5330 | |
(330) 286-5396 |
Full Name | Theresa Lynne Roth |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 31 Years |
Location | 200 E State St, Alliance, Ohio |
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 |
---|---|---|---|
1508882556 | NPI | - | NPPES |
0932361 | Medicaid | OH | |
P02145866 | Other | OH | MEDICARE RAILROAD PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.02076 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alliance Community Hospital | Alliance, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bel-park Anesthesia Associates, Inc. | 8628974904 | 129 |
Entity Name | Bel-park Anesthesia Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
Mailing Address | Practice Location Address |
---|---|
Theresa Lynne Roth, CRNA 4135 Boardman Canfield Rd Ste 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Theresa Lynne Roth, CRNA 200 E State St, Alliance, OH 44601-4936 Ph: (330) 286-5330 |
Patricia E Dumovic, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 East State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 | |
Margaret Elizabeth Wood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-829-4000 Fax: 330-829-4533 | |
Susan C Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7227 | |
Janice Ann Foley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7157 Fax: 330-596-7214 | |
Anna M Lang-clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 | |
Barbara M Mastriana, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E. State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 |