Joshua Roose, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Tustin, Michigan. His current practice location is
22894 19 Mile Rd, Tustin, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 884-4462.
Joshua Roose is licensed to practice in Ohio (license number 58.032115) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962018671.
Physician's Profile
Full Name | Joshua Roose |
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Gender | Male |
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Speciality | Family Medicine - Sports Medicine |
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Location | 22894 19 Mile Rd, Tustin, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962018671
- Provider Enumeration Date: 09/17/2020
- Last Update Date: 06/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 8820490139
- Enrollment ID: I20210708003504
Medical Identifiers
Medical identifiers for Joshua Roose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962018671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QS0010X | Family Medicine - Sports Medicine | 58.032115 (Ohio) | Primary |
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. Joshua Roose 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 |
Joshua Roose, DO 22894 19 Mile Rd, Tustin, MI 49688-8059 Ph: (231) 884-4462 | Joshua Roose, DO 22894 19 Mile Rd, Tustin, MI 49688-8059 Ph: (231) 884-4462 |
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