Dr Deja Renee Rose, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Hiram, Georgia. Her current practice location is
148 Bill Carruth Pkwy Ste 340, Hiram, Georgia. You can reach out to her office (for appointments etc.) via phone at
(470) 956-3845.
Dr Deja Renee Rose is licensed to practice in Georgia (license number 93259) 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 1710331459.
Physician's Profile
Full Name | Dr Deja Renee Rose |
---|
Gender | Female |
---|
Speciality | Psychiatry & Neurology - Neurology |
---|
Location | 148 Bill Carruth Pkwy Ste 340, Hiram, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710331459
- Provider Enumeration Date: 04/19/2016
- Last Update Date: 12/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981989753
- Enrollment ID: I20221019001261
Medical Identifiers
Medical identifiers for Dr Deja Renee Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710331459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 93259 (Georgia) | 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 Deja Renee Rose allows following entities to bill medicare on her behalf.
Entity Name | The Emory Clinic Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
---|
Entity Name | Wellstar Medical Group, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
---|
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 Deja Renee 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 |
Dr Deja Renee Rose, MD 148 Bill Carruth Pkwy Ste 340, Hiram, GA 30141-3756 Ph: (470) 956-3845 | Dr Deja Renee Rose, MD 148 Bill Carruth Pkwy Ste 340, Hiram, GA 30141-3756 Ph: (470) 956-3845 |
Reviews and Comments