| Robert M Rose, MD | |
|
1041 Sharon Rd Ste 205, King William, VA 23086-3344 | |
| (804) 769-3096 | |
| (804) 769-3170 |
| Full Name | Robert M Rose |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 1041 Sharon Rd Ste 205, King William, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730527342 | NPI | - | NPPES |
| C05698 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101259659 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Tappahannock Home Health | Tappahannock, VA | Home health agency |
| Southeastern Home Health Services | Mechanicsville, VA | Home health agency |
| Brookside Home Health, An Amedisys Company | Williamsburg, VA | Home health agency |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Riverside Tappahannock Hospital | Tappahannock, VA | Hospital |
| Bon Secours Richmond Community Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Memorial Regional Medical Center Llc | 6507775293 | 30 |
| Entity Name | Bon Secours Memorial Regional Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881795557 PECOS PAC ID: 6507775293 Enrollment ID: O20040726000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert M Rose, MD 1041 Sharon Rd Ste 205, King William, VA 23086-3344 Ph: (804) 769-3096 | Robert M Rose, MD 1041 Sharon Rd Ste 205, King William, VA 23086-3344 Ph: (804) 769-3096 |