Dr Camilla Rose, DNP is a medicare enrolled "Midwife" in Fairfax, Virginia. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Hospital Medicine Services Of Tn Llc and her current practice location is
3650 Joseph Siewick Dr Ste 203, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 391-1500.
Dr Camilla Rose is licensed to practice in * (Not Available) (license number ) 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 1760048342.
Provider's Profile
| Full Name | Dr Camilla Rose |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 10 Years |
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| Location | 3650 Joseph Siewick Dr Ste 203, Fairfax, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Camilla Rose graduated from nursing school in 2015
NPI Data:
- NPI Number: 1760048342
- Provider Enumeration Date: 05/19/2019
- Last Update Date: 06/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517366974
- Enrollment ID: I20210604001821
Medical Identifiers
Medical identifiers for Dr Camilla Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760048342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 29067 (Tennessee) | Secondary |
| 176B00000X | Midwife | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hospital Medicine Services Of Tn Llc | 2365807633 | 256 |
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. Dr Camilla Rose allows following entities to bill medicare on her behalf.
| Entity Name | Pediatrix Medical Group Of Tennessee, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497852107
PECOS PAC ID: 2668538265
Enrollment ID: O20090305000758 |
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| Entity Name | Obhg Tennessee, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285924977
PECOS PAC ID: 1850566514
Enrollment ID: O20111207000456 |
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| Entity Name | Hospital Medicine Services Of Tn Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982301065
PECOS PAC ID: 2365807633
Enrollment ID: O20230421000177 |
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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. Dr Camilla 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 Address | Practice Location Address |
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Dr Camilla Rose, DNP
505 Page Dr,
Goodlettsville, TN 37072-3438
Ph: (615) 598-2460 | Dr Camilla Rose, DNP
3650 Joseph Siewick Dr Ste 203,
Fairfax, VA 22033-1712
Ph: (703) 391-1500 |
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