Michael Stephens Rose Jr, LPC is a medicare enrolled "Counselor - Professional" provider in Scottsburg, Virginia. His current practice location is
6184 James D Hagood Hwy, Scottsburg, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 840-7499.
Michael Stephens Rose Jr is licensed to practice in Virginia (license number 0701011721) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033831680.
Healthcare Provider's Profile
Full Name | Michael Stephens Rose Jr |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 6184 James D Hagood Hwy, Scottsburg, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033831680
- Provider Enumeration Date: 09/12/2022
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820448160
- Enrollment ID: I20231228001489
Medical Identifiers
Medical identifiers for Michael Stephens Rose Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033831680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 0701011721 (Virginia) | 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. Michael Stephens Rose Jr allows following entities to bill medicare on his behalf.
Entity Name | Southside Community Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700890761 PECOS PAC ID: 4284660507 Enrollment ID: O20050708000612 |
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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. Michael Stephens Rose Jr 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 |
Michael Stephens Rose Jr, LPC 6184 James D Hagood Hwy, Scottsburg, VA 24589-2681 Ph: () - | Michael Stephens Rose Jr, LPC 6184 James D Hagood Hwy, Scottsburg, VA 24589-2681 Ph: (804) 840-7499 |
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