Marissa Lee Rose, FNP-C is a medicare enrolled "Family Medicine" in Mesa, Arizona. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Good Health Medical Pllc and her current practice location is
1982 W Main St Ste 101, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 677-8282.
Marissa Lee Rose is licensed to practice in Arizona (license number AP11499) 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 1679069850.
Provider's Profile
| Full Name | Marissa Lee Rose |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1982 W Main St Ste 101, Mesa, Arizona |
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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:
- Marissa Lee Rose graduated from nursing school in 2018
NPI Data:
- NPI Number: 1679069850
- Provider Enumeration Date: 07/10/2018
- Last Update Date: 02/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 8426398447
- Enrollment ID: I20190328001859
Medical Identifiers
Medical identifiers for Marissa Lee Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679069850 | NPI | - | NPPES |
| AP11499 | Other | AZ | AZ STATE BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 1227510 (Texas) | Secondary |
| 207Q00000X | Family Medicine | AP11499 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Good Health Medical Pllc | 3779680962 | 215 |
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. Marissa Lee Rose allows following entities to bill medicare on her behalf.
| Entity Name | Emergency Physicians Southwest PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912053752
PECOS PAC ID: 2264538529
Enrollment ID: O20070502000382 |
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| Entity Name | Good Health Medical PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144764432
PECOS PAC ID: 3779680962
Enrollment ID: O20070523000237 |
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| Entity Name | Mountain Vista Emergency Physicians, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164642963
PECOS PAC ID: 8325139223
Enrollment ID: O20070807000555 |
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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. Marissa Lee 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 |
|---|
Marissa Lee Rose, FNP-C
261 N Roosevelt Ave,
Chandler, AZ 85226-2617
Ph: (480) 677-8282 | Marissa Lee Rose, FNP-C
1982 W Main St Ste 101,
Mesa, AZ 85201-6917
Ph: (480) 677-8282 |
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