| Douglas W Rose, NP | |
|
1106 Hazel Ln, Farmington, MO 63640-1999 | |
| (573) 756-6751 | |
| (573) 756-6807 |
| Full Name | Douglas W Rose |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 1106 Hazel Ln, Farmington, Missouri |
| 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 |
|---|---|---|---|
| 1700018504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 133621 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkland Health Center | 1951219237 | 32 |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Entity Name | Parkland Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922016112 PECOS PAC ID: 1951219237 Enrollment ID: O20050224000840 |
| Entity Name | Southeastern Emergency Services Of Memphis Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20080108000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas W Rose, NP Po Box 957683, Saint Louis, MO 63195-7683 Ph: (573) 756-6751 | Douglas W Rose, NP 1106 Hazel Ln, Farmington, MO 63640-1999 Ph: (573) 756-6751 |
Melinda Dawn Dugal, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-7920 Fax: 573-756-9597 | |
Mrs. Misty Dawn Cain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 W Pine St, Farmington, MO 63640 Phone: 573-747-1510 Fax: 573-747-1512 | |
Jill Basler, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 130 Westmount Dr, Farmington, MO 63640 Phone: 573-756-1813 | |
Kay Lynn Day, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 507 W Pine St, Farmington, MO 63640 Phone: 573-454-2466 | |
Michelle Heath, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 534 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-8253 Fax: 314-996-4500 | |
Dirk E Roberts, RNFA, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 606 Maple Valley Dr, Farmington, MO 63640 Phone: 573-756-7779 Fax: 573-756-6914 | |
Gabrielle Marie Plummer, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 Hazel Ln, Farmington, MO 63640 Phone: 573-756-6751 |