Mr Leonard A Rose Jr, CRNP - Medicare Nurse Practitioner in Madison, AL

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Mr Leonard A Rose Jr, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Madison, Alabama. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Farouk A Raquib Md Pc, Fast Pace Medical Clinic Pllc and his current practice location is 600 Sun Temple Dr, Madison, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 288-3333.

Mr Leonard A Rose Jr is licensed to practice in Alabama (license number 1-074517) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1215562988.

Contact Information

Mr Leonard A Rose Jr, CRNP
600 Sun Temple Dr,
Madison, AL 35758-8643
(256) 288-3333
(256) 288-3334

Map and Direction




Provider's Profile

Full NameMr Leonard A Rose Jr
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location600 Sun Temple Dr, Madison, Alabama
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Leonard A Rose Jr graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1215562988
  • Provider Enumeration Date: 03/03/2020
  • Last Update Date: 03/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6002245149
  • Enrollment ID: I20200410001459

Medical Identifiers

Medical identifiers for Mr Leonard A Rose Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215562988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-074517 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Farouk A Raquib Md Pc46888644405
Fast Pace Medical Clinic Pllc5395881841737

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. Mr Leonard A Rose Jr allows following entities to bill medicare on his behalf.
Entity NameFarouk a Raquib MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760531479
PECOS PAC ID: 4688864440
Enrollment ID: O20101104000149
Entity NameStopwatch Urgent Care Centers LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841506458
PECOS PAC ID: 7719166230
Enrollment ID: O20110128000664
Entity NameUpperline Healthcare PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538686498
PECOS PAC ID: 4385900653
Enrollment ID: O20171102002827
Entity NameFast Pace Medical Clinic PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639679962
PECOS PAC ID: 5395881841
Enrollment ID: O20200415001560
Entity NameSignify Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210224000756

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. Mr Leonard A Rose Jr 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
Mr Leonard A Rose Jr, CRNP
600 Sun Temple Dr,
Madison, AL 35758-8643

Ph: (256) 288-3333		Mr Leonard A Rose Jr, CRNP
600 Sun Temple Dr,
Madison, AL 35758-8643

Ph: (256) 288-3333

Reviews and Comments


Nurse Practitioner Nurses in Madison, AL

Krista Young, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 600 Sun Temple Dr, Madison, AL 35758
Phone: 256-975-4291    Fax: 256-288-3334
Mae Hill, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11743 County Line Rd Ste C, Madison, AL 35758
Phone: 256-880-3500    Fax: 256-880-9203
Natalie R Baker, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758
Phone: 256-325-4365    Fax: 256-461-0393
Chastity D Ayers, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 600 Sun Temple Dr, Madison, AL 35758
Phone: 256-288-3333    Fax: 256-288-3334
Mr. Blake Hamilton Gilliam,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758
Phone: 256-325-0955    
Mrs. Ruth Morris Church, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8216 Madison Blvd, Madison, AL 35758
Phone: 256-464-9991    Fax: 256-464-9994
Jacob Ryan Gray, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9238 Madison Blvd Ste 750, Madison, AL 35758
Phone: 256-724-8880    Fax: 888-951-7515

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.