Mrs Charlie Clushettea Rose, APRN - Medicare Nurse Practitioner in Bowling Green, KY

Mrs Charlie Clushettea Rose, APRN is a medicare enrolled "Nurse Practitioner - Family" in Bowling Green, Kentucky. Her current practice location is 811 Fairview Ave, Bowling Green, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 904-7029.

Mrs Charlie Clushettea Rose is licensed to practice in Kentucky (license number 3016967) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245996644.

Contact Information

Mrs Charlie Clushettea Rose, APRN
811 Fairview Ave,
Bowling Green, KY 42101-4969
(270) 904-7029
(270) 826-0212

Map and Direction




Provider's Profile

Full NameMrs Charlie Clushettea Rose
GenderFemale
SpecialityNurse Practitioner - Family
Location811 Fairview Ave, Bowling Green, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245996644
  • Provider Enumeration Date: 11/10/2021
  • Last Update Date: 11/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820485220
  • Enrollment ID: I20220504001592

Medical Identifiers

Medical identifiers for Mrs Charlie Clushettea Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245996644NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3016967 (Kentucky)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. Mrs Charlie Clushettea Rose allows following entities to bill medicare on her behalf.
Entity NameMatthew 25 Aids Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457355125
PECOS PAC ID: 3375513641
Enrollment ID: O20040727000113
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210209002652

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 Charlie Clushettea 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
Mrs Charlie Clushettea Rose, APRN
3042 Natural Way,
Bowling Green, KY 42101-4492

Ph: (270) 303-3035
Mrs Charlie Clushettea Rose, APRN
811 Fairview Ave,
Bowling Green, KY 42101-4969

Ph: (270) 904-7029

Reviews and Comments


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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.