Dr Ciemone Samatura Rose, PHD in Zionsville, IN - Medicare Clinical Psychologist Provider

Dr Ciemone Samatura Rose, PHD is a medicare enrolled "Psychologist - Clinical" provider in Zionsville, Indiana. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Midwest Behavioral Health Llc and her current practice location is 10801 N Michigan Rd, Zionsville, Indiana. You can reach out to her office (for appointments etc.) via phone at (216) 468-5000.

Dr Ciemone Samatura Rose is licensed to practice in Indiana (license number 20043067A) 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 1376139949.

Contact Information

	Dr Ciemone Samatura Rose, PHD
	10801 N Michigan Rd, Zionsville, IN 46077-8170
	(216) 468-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ciemone Samatura Rose
Gender	Female
Speciality	Clinical Psychologist
Experience	10 Years
Location	10801 N Michigan Rd, Zionsville, Indiana
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:

Dr Ciemone Samatura Rose graduated from medical school in 2016

NPI Data:

NPI Number: 1376139949
Provider Enumeration Date: 12/17/2020
Last Update Date: 06/09/2026

Medicare PECOS Information:

PECOS PAC ID: 6709290042
Enrollment ID: I20210128001410

Medical Identifiers

Medical identifiers for Dr Ciemone Samatura Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376139949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20043067A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Behavioral Health Llc	4587834874	124

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. Dr Ciemone Samatura Rose allows following entities to bill medicare on her behalf.

Entity Name	Midwest Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118

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. Dr Ciemone Samatura 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 Address	Practice Location Address
Dr Ciemone Samatura Rose, PHD 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () -	Dr Ciemone Samatura Rose, PHD 10801 N Michigan Rd, Zionsville, IN 46077-8170 Ph: (216) 468-5000

Reviews and Comments

Psychologist in Zionsville, IN

Dr. Anne Katherine Conley-goldstein, PH.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10801 N Michigan Rd Ste 240, Zionsville, IN 46077 Phone: 216-468-5000
Dr. Aimee Dershowitz, PSY.D. HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1650 W Oak St Ste 110, Zionsville, IN 46077 Phone: 317-973-8888 Fax: 317-973-8776
Mrs. Patricia Martin-brown, M.S.,NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 260 Beechwood Ln, Zionsville, IN 46077 Phone: 317-873-6952 Fax: 317-873-6952
Dr. Jonathan Mangold, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 260 S 1st St, S 1, Zionsville, IN 46077 Phone: 317-873-9573
Ms. Suzanne Maxson Maxson Shircliff, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 260 Beechwood Ln, Zionsville, IN 46077 Phone: 317-873-6952 Fax: 317-873-6952
Dr. Claire Wilmoth Braun, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1650 W Oak St Ste 110, Zionsville, IN 46077 Phone: 317-973-8888

Dr Ciemone Samatura Rose, PHD - Medicare Psychologist in Zionsville, IN