Mrs Amanda L Rosen, is a medicare enrolled "Nurse Practitioner - Family" in Clayton, New York. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Samaritan Medical Center and her current practice location is
909 Strawberry Ln, Clayton, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 686-2094.
Mrs Amanda L Rosen is licensed to practice in New York (license number 348027) 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 1508535337.
Provider's Profile
| Full Name | Mrs Amanda L Rosen |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 4 Years |
|---|
| Location | 909 Strawberry Ln, Clayton, New York |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mrs Amanda L Rosen graduated from nursing school in 2021
NPI Data:
- NPI Number: 1508535337
- Provider Enumeration Date: 09/07/2021
- Last Update Date: 12/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739571704
- Enrollment ID: I20220125001259
Medical Identifiers
Medical identifiers for Mrs Amanda L Rosen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508535337 | NPI | - | NPPES |
| 06903011 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 348027 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Samaritan Medical Center | 8123914876 | 138 |
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. Mrs Amanda L Rosen allows following entities to bill medicare on her behalf.
| Entity Name | Samaritan Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1598713745
PECOS PAC ID: 8123914876
Enrollment ID: O20040227000525 |
|---|
| Entity Name | Samaritan Keep Nursing Home Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1336197839
PECOS PAC ID: 1951574490
Enrollment ID: O20180507000564 |
|---|
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. Mrs Amanda L Rosen 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 |
|---|
Mrs Amanda L Rosen,
909 Strawberry Ln,
Clayton, NY 13624-1409
Ph: (315) 686-2094 | Mrs Amanda L Rosen,
909 Strawberry Ln,
Clayton, NY 13624-1409
Ph: (315) 686-2094 |
Reviews and Comments