Dr Kelly S Rose, DDS - Medicare Dentist in Buffalo, NY

Dr Kelly S Rose, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Buffalo, New York. Her current practice location is 1100 Main St, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 242-8200.

Dr Kelly S Rose is licensed to practice in New York (license number 050914) 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 1932167145.

Contact Information

Dr Kelly S Rose, DDS
1100 Main St,
Buffalo, NY 14209-2308
(716) 242-8200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly S Rose
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location1100 Main St, Buffalo, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932167145
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 01/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8729388855
  • Enrollment ID: I20151123000311

Medical Identifiers

Medical identifiers for Dr Kelly S Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932167145NPI-NPPES
03376083MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 050914 (New York)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 Kelly S Rose allows following entities to bill medicare on her behalf.
Entity NameUniversity Pediatric Dentistry Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649389560
PECOS PAC ID: 8628378908
Enrollment ID: O20151119000362

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 Kelly S 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 AddressPractice Location Address
Dr Kelly S Rose, DDS
1100 Main St,
Buffalo, NY 14209-2308

Ph: (716) 242-8200
Dr Kelly S Rose, DDS
1100 Main St,
Buffalo, NY 14209-2308

Ph: (716) 242-8200

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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