Rachelle A Rose, PHD in Clearfield, UT - Medicare Psychologist Provider

Rachelle A Rose, PHD is a medicare enrolled "Psychologist - Clinical" provider in Clearfield, Utah. Her current practice location is 49 E 200 S, Northern Utah Mental Counseling, Clearfield, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 779-0095.

Rachelle A Rose is licensed to practice in Utah (license number 5712578-2501-2014092) 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 1265448104.

Contact Information

	Rachelle A Rose, PHD
	49 E 200 S, Northern Utah Mental Counseling, Clearfield, UT 84015-1047
	(801) 779-0095
	(801) 779-0255

Map and Direction

Healthcare Provider's Profile

Full Name	Rachelle A Rose
Gender	Female
Speciality	Psychologist - Clinical
Location	49 E 200 S, Clearfield, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265448104
Provider Enumeration Date: 07/31/2006
Last Update Date: 04/01/2015

Medicare PECOS Information:

PECOS PAC ID: 3476505504
Enrollment ID: I20070731000563

Medical Identifiers

Medical identifiers for Rachelle A Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265448104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	5712578-2501-2014092 (Utah)	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. Rachelle A Rose allows following entities to bill medicare on her behalf.

Entity Name	Tanner Memorial Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132

Entity Name	South Davis Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386142396 PECOS PAC ID: 0446511927 Enrollment ID: O20180223002317

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. Rachelle A 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
Rachelle A Rose, PHD 49 E 200 S, Northern Utah Mental Counseling, Clearfield, UT 84015-1047 Ph: (801) 779-0095	Rachelle A Rose, PHD 49 E 200 S, Northern Utah Mental Counseling, Clearfield, UT 84015-1047 Ph: (801) 779-0095

Reviews and Comments

Psychologist in Clearfield, UT

Rondi Mattson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1785 East 1450 South, Suite 237, Clearfield, UT 84015 Phone: 801-525-1131 Fax: 801-525-1181
John D Perovich, PSYD PLLC Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1785 E 1450 S Ste 250, Clearfield, UT 84015 Phone: 801-773-0535 Fax: 801-773-0536
David Newbold, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 370 S 500 E, Suite 180, Clearfield, UT 84015 Phone: 801-776-1954 Fax: 801-774-9602
Gerald E. Manwill, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1105 S State St, Clearfield, UT 84015 Phone: 801-721-8050

Rachelle A Rose, PHD - Medicare Psychologist in Clearfield, UT