Kyle Pendleton Rose, NP - Medicare Nurse Practitioner in Dyersburg, TN

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Kyle Pendleton Rose, NP is a medicare enrolled "Nurse Practitioner" in Dyersburg, Tennessee. His current practice location is 420 Wilkinson Dr, Dyersburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at (224) 406-4918.

Kyle Pendleton Rose is licensed to practice in Tennessee (license number APN0000034479) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679358659.

Contact Information

Kyle Pendleton Rose, NP
420 Wilkinson Dr,
Dyersburg, TN 38024-2085
(224) 406-4918
Not Available

Map and Direction




Provider's Profile

Full NameKyle Pendleton Rose
GenderMale
SpecialityNurse Practitioner
Location420 Wilkinson Dr, Dyersburg, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679358659
  • Provider Enumeration Date: 08/29/2023
  • Last Update Date: 08/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456707488
  • Enrollment ID: I20231027002021

Medical Identifiers

Medical identifiers for Kyle Pendleton Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679358659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APN0000034479 (Tennessee)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. Kyle Pendleton Rose allows following entities to bill medicare on his behalf.
Entity NameT M Carr Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992706097
PECOS PAC ID: 3375504913
Enrollment ID: O20041026000787
Entity NameWt Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295223279
PECOS PAC ID: 1951650613
Enrollment ID: O20180814002772

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. Kyle Pendleton 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 AddressPractice Location Address
Kyle Pendleton Rose, NP
1532 Craig Rd,
Dyersburg, TN 38024-6750

Ph: (224) 406-4918		Kyle Pendleton Rose, NP
420 Wilkinson Dr,
Dyersburg, TN 38024-2085

Ph: (224) 406-4918

Reviews and Comments


Nurse Practitioner Nurses in Dyersburg, TN

Peyton Barnett, DNP FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2550 Parr Ave, Dyersburg, TN 38024
Phone: 731-325-5678    
Heather Haddock, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1718 Parr Ave Ste E, Dyersburg, TN 38024
Phone: 731-285-9938    
Tammy Javellana, F.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1505 Woodlawn Ave Ste A, Dyersburg, TN 38024
Phone: 731-478-6064    Fax: 731-478-6067
Matthew Aaron Cartwright, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Parr Ave, Dyersburg, TN 38024
Phone: 615-905-5200    
Amber Elaine Mejia, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 179 Quail Hollow Dr, Dyersburg, TN 38024
Phone: 870-623-8410    
Whitney Young, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 455 East Parkview, Dyersburg, TN 38024
Phone: 731-285-2100    
Tina Boyd-seng, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1950 Us Highway 51 Byp N, Dyersburg, TN 38024
Phone: 731-217-0449    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.