Douglas J Rose, MD - Medicare Family Practice in Kingsport, TN

Douglas J Rose, MD is a medicare enrolled "Family Medicine" physician in Kingsport, Tennessee. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hilo Medical Center, Kau Hospital and his current practice location is 102 E Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 245-9600.

Douglas J Rose is licensed to practice in Tennessee (license number 36384) 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 1003892027.

Contact Information

Douglas J Rose, MD
102 E Ravine Rd,
Kingsport, TN 37660-3814
(423) 245-9600
(423) 245-9634

Map and Direction




Physician's Profile

Full NameDouglas J Rose
GenderMale
SpecialityFamily Practice
Experience29 Years
Location102 E Ravine Rd, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas J Rose attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1995
  NPI Data:
  • NPI Number: 1003892027
  • Provider Enumeration Date: 12/21/2005
  • Last Update Date: 02/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6507888112
  • Enrollment ID: I20160909002491

Medical Identifiers

Medical identifiers for Douglas J Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003892027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 36384 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hilo Medical CenterHilo, HIHospital
Kau HospitalPahala, HIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hilo Medical Center125442290070
Kau Hospital741694554888

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. Douglas J Rose allows following entities to bill medicare on his behalf.
Entity NameKau Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144304338
PECOS PAC ID: 7416945548
Enrollment ID: O20040601000398
Entity NameHilo Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962584060
PECOS PAC ID: 1254422900
Enrollment ID: O20070809000268

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. Douglas J 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
Douglas J Rose, MD
Po Box 699,
Mountain Home, TN 37684-0699

Ph: (423) 245-9600
Douglas J Rose, MD
102 E Ravine Rd,
Kingsport, TN 37660-3814

Ph: (423) 245-9600

Reviews and Comments


Family Medicine Doctors in Kingsport, TN

Mary Axelrad, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663
Phone: 423-239-5141    Fax: 423-239-4869
Dr. Chad Bates, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660
Phone: 423-857-2260    
Dr. Edward Monty Stirman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660
Phone: 423-323-6200    Fax: 423-323-6593
Dr. Anthony Tin-lung Ng, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Brookside Dr, Kingsport, TN 37660
Phone: 423-857-7000    
Jerry Miller, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660
Phone: 423-392-6200    
Ms. Lesley Ann Jones, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660
Phone: 423-247-0462    Fax: 423-247-0465

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.