Rosevan Vickery, RN, FNP-BC in Jamaica Plain, MA

Rosevan Vickery, RN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jamaica Plain, Massachusetts. Her current practice location is 1153 Centre St, Jamaica Plain, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 983-7000.

Rosevan Vickery is licensed to practice in Massachusetts (license number RN2330687) 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 1285386235.

Contact Information

	Rosevan Vickery, RN, FNP-BC
	1153 Centre St, Jamaica Plain, MA 02130-3446
	(617) 983-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Rosevan Vickery
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1153 Centre St, Jamaica Plain, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285386235
Provider Enumeration Date: 01/21/2022
Last Update Date: 04/23/2025

Medicare PECOS Information:

PECOS PAC ID: 8426443532
Enrollment ID: I20220328000004

Medical Identifiers

Medical identifiers for Rosevan Vickery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285386235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN2330687 (Massachusetts)	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. Rosevan Vickery allows following entities to bill medicare on her behalf.

Entity Name	Mass General Brigham Medical Group Western Massachusetts Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295787919 PECOS PAC ID: 2567359839 Enrollment ID: O20040302000290

Entity Name	Fenway Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003804725 PECOS PAC ID: 0941299655 Enrollment ID: O20040508000030

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

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. Rosevan Vickery 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
Rosevan Vickery, RN, FNP-BC 13 Willow St Apt 303, Lynn, MA 01901-1230 Ph: (203) 889-8157	Rosevan Vickery, RN, FNP-BC 1153 Centre St, Jamaica Plain, MA 02130-3446 Ph: (617) 983-7000

Reviews and Comments

Nurse Practitioner Nurses in Jamaica Plain, MA

Caitlin Marie Dacey, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 Fax: 617-983-1377
Anna Elisabeth Daren, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3297 Washington St, Jamaica Plain, MA 02130 Phone: 617-522-4700
Daniel Elvin Macmunn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1153 Centre St, Jamaica Plain, MA 02130 Phone: 617-983-7000
Betty Gyamfi, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Morton St, Jamaica Plain, MA 02130 Phone: 617-522-8110
Susan Kuriakose, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 545a Centre St, Jamaica Plain, MA 02130 Phone: 617-522-5464 Fax: 617-524-2966
Sukhyune Hong, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 170 Morton St, Jamaica Plain, MA 02130 Phone: 617-971-3114 Fax: 617-971-3380
Theresa Monica Bucao Deang, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 S Huntington Ave, Jamaica Plain, MA 02130 Phone: 617-232-9500

Rosevan Vickery, RN, FNP-BC - Medicare Nurse Practitioner in Jamaica Plain, MA