Ottilie T Rose, MD - Medicare Pediatric Medicine in Derby, CT

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Ottilie T Rose, MD is a medicare enrolled "Pediatrics" physician in Derby, Connecticut. She went to New York Medical College and graduated in 1985 and has 39 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Qmg3 Llc, Qmg4 Llc, Qmg5 Llc, Qmg7 Llc and her current practice location is 78 Pershing Dr, Derby, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 709-8873.

Ottilie T Rose is licensed to practice in Connecticut (license number 030635) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982626719.

Contact Information

Ottilie T Rose, MD
78 Pershing Dr,
Derby, CT 06418-1433
(203) 709-8873
(203) 709-8689

Map and Direction




Physician's Profile

Full NameOttilie T Rose
GenderFemale
SpecialityPediatric Medicine
Experience39 Years
Location78 Pershing Dr, Derby, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ottilie T Rose attended and graduated from New York Medical College in 1985
  NPI Data:
  • NPI Number: 1982626719
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 06/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133153844
  • Enrollment ID: I20050922000259

Medical Identifiers

Medical identifiers for Ottilie T Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982626719NPI-NPPES
001306358MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 030635 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Qmg3 Llc862835311712
Qmg4 Llc428491295714
Qmg5 Llc206282091313
Qmg7 Llc07496427264

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. Ottilie T Rose allows following entities to bill medicare on her behalf.
Entity NameQuentin Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487087250
PECOS PAC ID: 4981833647
Enrollment ID: O20140130000098
Entity NameQmg 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437546363
PECOS PAC ID: 0345541512
Enrollment ID: O20151211000754
Entity NameQmg4 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023471299
PECOS PAC ID: 4284912957
Enrollment ID: O20161031002469
Entity NameQmg3 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053856039
PECOS PAC ID: 8628353117
Enrollment ID: O20170324000321
Entity NameMedexpress Urgent Care Connecticut, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528592417
PECOS PAC ID: 0749552388
Enrollment ID: O20170920002629
Entity NameQmg5 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386233344
PECOS PAC ID: 2062820913
Enrollment ID: O20210414002118
Entity NameQmg7 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487367199
PECOS PAC ID: 0749642726
Enrollment ID: O20230809000584

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. Ottilie T 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
Ottilie T Rose, MD
78 Pershing Dr,
Derby, CT 06418-1433

Ph: (203) 709-8873		Ottilie T Rose, MD
78 Pershing Dr,
Derby, CT 06418-1433

Ph: (203) 709-8873

Reviews and Comments


Pediatrics Doctors in Derby, CT

Mr. Joseph Berlenbach, P.A.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    Fax: 203-732-1332
Dr. Robert Nelson Hyde Iii, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 111 New Haven Ave, Derby, CT 06418
Phone: 203-736-9214    Fax: 203-736-9172

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.