Dr Nichole A Rosa, CRNP is a medicare enrolled "Nurse Practitioner - Family" in New Milford, Pennsylvania. Her current practice location is
433 Church St, New Milford, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 465-4500.
Dr Nichole A Rosa is licensed to practice in Pennsylvania (license number SP009050) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194804815.
Provider's Profile
| Full Name | Dr Nichole A Rosa |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 433 Church St, New Milford, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194804815
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 01/07/2013
Medicare PECOS Information:
- PECOS PAC ID: 8921013574
- Enrollment ID: I20130314000290
Medical Identifiers
Medical identifiers for Dr Nichole A Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194804815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 334797 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP009050 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nichole A Rosa allows following entities to bill medicare on her behalf.
| Entity Name | Barnes-kasson County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932138161
PECOS PAC ID: 1355318635
Enrollment ID: O20040915000865 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nichole A Rosa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nichole A Rosa, CRNP
433 Church St, P.o. Box 602,
New Milford, PA 18834-6603
Ph: (570) 465-4500 | Dr Nichole A Rosa, CRNP
433 Church St,
New Milford, PA 18834-6603
Ph: (570) 465-4500 |
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