Emma Pennington Rose, CRNP is a medicare enrolled "Advanced Practice Midwife" in Wynnewood, Pennsylvania. Her current practice location is
100 E Lancaster Ave Ste B5, Wynnewood, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(484) 476-2638.
Emma Pennington Rose is licensed to practice in Pennsylvania (license number MW010242) 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 1649564105.
Provider's Profile
| Full Name | Emma Pennington Rose |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 100 E Lancaster Ave Ste B5, Wynnewood, Pennsylvania |
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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: 1649564105
- Provider Enumeration Date: 06/01/2011
- Last Update Date: 08/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911159017
- Enrollment ID: I20190204000313
Medical Identifiers
Medical identifiers for Emma Pennington Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649564105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | SP011330 (Pennsylvania) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | SP011330 (Pennsylvania) | Secondary |
| 367A00000X | Advanced Practice Midwife | MW010242 (Pennsylvania) | Primary |
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. Emma Pennington Rose allows following entities to bill medicare on her behalf.
| Entity Name | Clinical Care Associates Of The University Of Pennsylvania Health. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972682995
PECOS PAC ID: 4688588866
Enrollment ID: O20031113000301 |
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| Entity Name | Regional Womens Health Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750880118
PECOS PAC ID: 2961316328
Enrollment ID: O20180611002120 |
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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. Emma Pennington 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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Emma Pennington Rose, CRNP
3803 W Chester Pike Ste 160,
Newtown Square, PA 19073-2336
Ph: (484) 337-1632 | Emma Pennington Rose, CRNP
100 E Lancaster Ave Ste B5,
Wynnewood, PA 19096-3450
Ph: (484) 476-2638 |
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