Mrs Rose M Ross, FNP is a
Nurse Practitioner - Family based in Fairview, Michigan. Mrs Rose M Ross is licensed to practice in Michigan (license number 4704091848) and her current practice location is
1910 E Miller Rd, Fairview, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 848-5484.
NPI number for Mrs Rose M Ross is 1225069412 and her current mailing address is 1910 E Miller Rd, Po Box 460, Fairview, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225069412.
Provider's Profile
| Full Name | Mrs Rose M Ross |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1910 E Miller Rd, Fairview, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225069412
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Mrs Rose M Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225069412 | NPI | - | NPPES |
| 4747166 | Medicaid | MI | |
| 5008773530 | Other | MI | BCBS |
| 4747175 | Medicaid | MI | |
| 700G210140 | Other | MI | BC GROUP PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 4704091848 (Michigan) | Primary |
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 M Ross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Rose M Ross, FNP
1910 E Miller Rd, Po Box 460,
Fairview, MI 48621-8731
Ph: (989) 848-5484 | Mrs Rose M Ross, FNP
1910 E Miller Rd,
Fairview, MI 48621-8731
Ph: (989) 848-5484 |
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