| Mr Robert J Rose, MD | |
|
5300 Highway 49 North, Mariposa, CA 95338-1569 | |
| (209) 966-3672 | |
| (209) 966-5548 |
| Full Name | Mr Robert J Rose |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5300 Highway 49 North, Mariposa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629085873 | NPI | - | NPPES |
| 00G524540 | Medicaid | CA | |
| RHM53871F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G52454 (California) | Primary |
| Entity Name | John C Fremont Healthcare District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750504270 PECOS PAC ID: 5890689533 Enrollment ID: O20040212000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert J Rose, MD Po Box 3768, Merced, CA 95344-3768 Ph: (209) 725-7149 | Mr Robert J Rose, MD 5300 Highway 49 North, Mariposa, CA 95338-1569 Ph: (209) 966-3672 |
Dr. Ravinder R. Kadevari, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 5192 Hospital Rd, Mariposa, CA 95338 Phone: 209-742-6144 Fax: 209-754-6274 | |
Carolyn Joan Rose, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5300 Highway 49 North, Mariposa, CA 95338 Phone: 209-966-3672 Fax: 209-966-5548 | |
Dr. Kelly Andre Sharrar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4981 Indian Peak Rd, Mariposa, CA 95338 Phone: 209-742-5977 Fax: 209-266-1855 |