Mr Harold Bernard Rose Iii, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Poplar Bluff, Missouri. He graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
1600 W Maud St Ste 2, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 840-0615.
Mr Harold Bernard Rose Iii is licensed to practice in Missouri (license number 2018026062) 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 1265071484.
Healthcare Provider's Profile
| Full Name | Mr Harold Bernard Rose Iii |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 1600 W Maud St Ste 2, Poplar Bluff, Missouri |
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| 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 Harold Bernard Rose Iii graduated from medical school in 2015
NPI Data:
- NPI Number: 1265071484
- Provider Enumeration Date: 01/06/2020
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880020841
- Enrollment ID: I20200211001137
Medical Identifiers
Medical identifiers for Mr Harold Bernard Rose Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265071484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2018026062 (Missouri) | 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. Mr Harold Bernard Rose Iii allows following entities to bill medicare on his behalf.
| Entity Name | Mineral Area Psychiatric Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306379482 PECOS PAC ID: 3072880962 Enrollment ID: O20170524002469 |
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| Entity Name | Insightful Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417608407 PECOS PAC ID: 4284097247 Enrollment ID: O20230824001568 |
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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. Mr Harold Bernard Rose Iii 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 Harold Bernard Rose Iii, LCSW 1600 W Maud St Ste 2, Poplar Bluff, MO 63901-4726 Ph: (573) 840-0615 | Mr Harold Bernard Rose Iii, LCSW 1600 W Maud St Ste 2, Poplar Bluff, MO 63901-4726 Ph: (573) 840-0615 |
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