Ms Sandra Lynn Rose, CNM is a medicare enrolled "Midwife" in Wilkes Barre, Pennsylvania. Her current practice location is
1155 E Mountain Blvd, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 808-7916.
Ms Sandra Lynn Rose is licensed to practice in Pennsylvania (license number ) 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 1467885715.
Provider's Profile
| Full Name | Ms Sandra Lynn Rose |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 1155 E Mountain Blvd, Wilkes Barre, 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: 1467885715
- Provider Enumeration Date: 08/09/2013
- Last Update Date: 08/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981993425
- Enrollment ID: I20160523001373
Medical Identifiers
Medical identifiers for Ms Sandra Lynn Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467885715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 0001202294 (Virginia) | Secondary |
| 176B00000X | Midwife | (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. Ms Sandra Lynn Rose allows following entities to bill medicare on her behalf.
| Entity Name | Geisinger Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518 |
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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. Ms Sandra Lynn 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 |
|---|
Ms Sandra Lynn Rose, CNM
100 N Academy Ave,
Danville, PA 17822-4903
Ph: (570) 271-6144 | Ms Sandra Lynn Rose, CNM
1155 E Mountain Blvd,
Wilkes Barre, PA 18702-7906
Ph: (570) 808-7916 |
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