Mr Derrick Rose, CRNA in Loma Linda, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Derrick Rose, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Loma Linda, California. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Faculty Physicians And Surgeons Of Llusm and his current practice location is 11234 Anderson St, 2532, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-1000.

Mr Derrick Rose is licensed to practice in California (license number 3787) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699900456.

Contact Information

	Mr Derrick Rose, CRNA
	11234 Anderson St, 2532, Loma Linda, CA 92354-2804
	(909) 558-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Derrick Rose
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	11234 Anderson St, Loma Linda, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Derrick Rose graduated from nursing school in 2008

NPI Data:

NPI Number: 1699900456
Provider Enumeration Date: 05/22/2009
Last Update Date: 05/22/2009

Medicare PECOS Information:

PECOS PAC ID: 1052506326
Enrollment ID: I20101111001326

Medical Identifiers

Medical identifiers for Mr Derrick Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699900456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3787 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loma Linda University Medical Center	Loma linda, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1053

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. Mr Derrick Rose allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Sweet Dreams Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20130107000011

Entity Name	Rest Assure Nurse Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043699556 PECOS PAC ID: 4486969649 Enrollment ID: O20150817002364

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. Mr Derrick Rose 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
Mr Derrick Rose, CRNA 11234 Anderson St, 2532, Loma Linda, CA 92354-2804 Ph: (909) 558-1000	Mr Derrick Rose, CRNA 11234 Anderson St, 2532, Loma Linda, CA 92354-2804 Ph: (909) 558-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Loma Linda, CA

Joseph M Wilkinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475
Kurt Dieter Cao, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8173
Edwin E Dupper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475
Mr. Jose Kadry Ii, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7811 Fax: 909-558-4143
Rochelle Antoinette Solorzano, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7811
Karin Zabel Nercissian, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Bituin Oben, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7811

Mr Derrick Rose, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Loma Linda, CA