Nicole M Rose, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Joshua Tree, California. Her current practice location is
7264 Olympic Rd Apt 102, Joshua Tree, California. You can reach out to her office (for appointments etc.) via phone at
(760) 565-2325.
Nicole M Rose is licensed to practice in California (license number 106566) 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 1518367952.
Healthcare Provider's Profile
| Full Name | Nicole M Rose |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 7264 Olympic Rd Apt 102, Joshua Tree, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518367952
- Provider Enumeration Date: 09/03/2014
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547655219
- Enrollment ID: I20220315002233
Medical Identifiers
Medical identifiers for Nicole M Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518367952 | NPI | - | NPPES |
| #95-2633765 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 106566 (California) | 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. Nicole M Rose allows following entities to bill medicare on her behalf.
| Entity Name | Affiliated Psychological Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750384350
PECOS PAC ID: 3779561378
Enrollment ID: O20040826001246 |
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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. Nicole M 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 |
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Nicole M Rose, LCSW
56925 Yucca Valley Trail, Pmb 513,
Yucca Valley, CA 92284
Ph: (760) 910-5488 | Nicole M Rose, LCSW
7264 Olympic Rd Apt 102,
Joshua Tree, CA 92252-2787
Ph: (760) 565-2325 |
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