Savannah Rose, PHD is a
Clinical Neuropsychologist based in Green Bay, Wisconsin. Savannah Rose is licensed to practice in Wisconsin (license number 5354-57) and her current practice location is
1821 S Webster Ave, Green Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 496-4700.
NPI number for Savannah Rose is 1538786512 and her current mailing address is Po Box 19070, Green Bay, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538786512.
Healthcare Provider's Profile
Full Name | Savannah Rose |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 1821 S Webster Ave, Green Bay, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538786512
- Provider Enumeration Date: 06/25/2020
- Last Update Date: 07/25/2025
Medical Identifiers
Medical identifiers for Savannah Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538786512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 5354-57 (Wisconsin) | Secondary |
103G00000X | Clinical Neuropsychologist | 5354-57 (Wisconsin) | 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. Savannah Rose 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 |
Savannah Rose, PHD Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Savannah Rose, PHD 1821 S Webster Ave, Green Bay, WI 54301-2253 Ph: (920) 496-4700 |
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