Emily Rose, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Henderson, Nevada. Her current practice location is
874 American Pacific Dr, Henderson, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 777-8687.
Emily Rose is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164244257.
Provider's Profile
| Full Name | Emily Rose |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 874 American Pacific Dr, Henderson, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164244257
- Provider Enumeration Date: 10/29/2024
- Last Update Date: 01/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830616432
- Enrollment ID: I20250507001774
Medical Identifiers
Medical identifiers for Emily Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164244257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA61637718 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Emily 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 |
|---|
Emily Rose,
Po Box 10742,
Bainbridge Island, WA 98110-0742
Ph: () - | Emily Rose,
874 American Pacific Dr,
Henderson, NV 89014-8800
Ph: (702) 777-8687 |
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