Mr Andrew Justin Baker Rose, CSAC, QMHP-A, LAC is a
Case Manager/care Coordinator based in Louisa, Kentucky. Mr Andrew Justin Baker Rose is licensed to practice in Kentucky (license number ) and his current practice location is
125 S Main Cross St, Louisa, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 638-0938.
NPI number for Mr Andrew Justin Baker Rose is 1770098139 and his current mailing address is 125 S Main Cross St, Louisa, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770098139.
Healthcare Provider's Profile
| Full Name | Mr Andrew Justin Baker Rose |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 125 S Main Cross St, Louisa, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770098139
- Provider Enumeration Date: 12/07/2017
- Last Update Date: 02/13/2023
Medical Identifiers
Medical identifiers for Mr Andrew Justin Baker Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770098139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 175461 (Kentucky) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 86000431A (Indiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710103608 (Virginia) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0732008841 (Virginia) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Kentucky) | 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. Mr Andrew Justin Baker 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 |
|---|
Mr Andrew Justin Baker Rose, CSAC, QMHP-A, LAC
125 S Main Cross St,
Louisa, KY 41230-1065
Ph: (606) 638-0938 | Mr Andrew Justin Baker Rose, CSAC, QMHP-A, LAC
125 S Main Cross St,
Louisa, KY 41230-1065
Ph: (606) 638-0938 |
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