Mrs Rose Carolyn Wilcox, ACNP - Medicare Nurse Practitioner in Fort Wayne, IN

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Mrs Rose Carolyn Wilcox, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Wayne, Indiana. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Indiana Behavioral Innovations Llc and her current practice location is 14411 Smugglers Notch, Suite A, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 515-3275.

Mrs Rose Carolyn Wilcox is licensed to practice in Indiana (license number 71004246A) 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 1396080024.

Contact Information

Mrs Rose Carolyn Wilcox, ACNP
14411 Smugglers Notch, Suite A,
Fort Wayne, IN 46814-8701
(260) 515-3275
(888) 803-6843

Map and Direction




Provider's Profile

Full NameMrs Rose Carolyn Wilcox
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location14411 Smugglers Notch, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. 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 Rose Carolyn Wilcox graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1396080024
  • Provider Enumeration Date: 12/06/2012
  • Last Update Date: 08/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911152905
  • Enrollment ID: I20130222000358

Medical Identifiers

Medical identifiers for Mrs Rose Carolyn Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396080024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 71004246A (Indiana)Primary
363L00000XNurse Practitioner 71004246A (Indiana)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana Behavioral Innovations Llc660828635612

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 Rose Carolyn Wilcox allows following entities to bill medicare on her behalf.
Entity NameRounding Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538486691
PECOS PAC ID: 5496947764
Enrollment ID: O20101227000644
Entity NamePsychiatric Management Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942677281
PECOS PAC ID: 7618285057
Enrollment ID: O20151005000131
Entity NameCnp Operating Co Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518386739
PECOS PAC ID: 8325263734
Enrollment ID: O20201105002659
Entity NameIndiana Behavioral Innovations Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922614825
PECOS PAC ID: 6608286356
Enrollment ID: O20210108000543
Entity NameS3 Medical Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891360079
PECOS PAC ID: 9931509619
Enrollment ID: O20210617000843
Entity NameS4 Specialty Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336884725
PECOS PAC ID: 4385011089
Enrollment ID: O20221109003024

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 Rose Carolyn Wilcox 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 Rose Carolyn Wilcox, ACNP
1197 Us Highway 6,
Edgerton, OH 43517-9701

Ph: (604) 457-0802		Mrs Rose Carolyn Wilcox, ACNP
14411 Smugglers Notch, Suite A,
Fort Wayne, IN 46814-8701

Ph: (260) 515-3275

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).

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