| Jennifer Ann Rose, NP | |
|
103 County Highway 138, Broadalbin, NY 12025-6902 | |
| (518) 883-1023 | |
| (518) 583-7665 |
| Full Name | Jennifer Ann Rose |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 103 County Highway 138, Broadalbin, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609211242 | NPI | - | NPPES |
| 03648780 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 382401 (New York) | Primary |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ann Rose, NP 103 County Highway 138 Ste 203, Broadalbin, NY 12025-6902 Ph: (518) 883-1023 | Jennifer Ann Rose, NP 103 County Highway 138, Broadalbin, NY 12025-6902 Ph: (518) 883-1023 |
Susan Casler, C.S F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3768 St Hwy 30, Broadalbin, NY 12025 Phone: 518-883-3121 Fax: 518-883-3280 | |
Jeanine Stoner Hess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 County Highway 138, Broadalbin, NY 12025 Phone: 518-883-1023 | |
Julie Anne Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 County Highway 138, Broadalbin, NY 12025 Phone: 518-883-1023 Fax: 518-883-1293 |