Dr Kelly S Rose, DDS in Buffalo, NY - Medicare Dentist Provider

Dr Kelly S Rose, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Buffalo, New York. Her current practice location is 1100 Main St, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 242-8200.

Dr Kelly S Rose is licensed to practice in New York (license number 050914) 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 1932167145.

Contact Information

	Dr Kelly S Rose, DDS
	1100 Main St, Buffalo, NY 14209-2308
	(716) 242-8200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelly S Rose
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	1100 Main St, Buffalo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932167145
Provider Enumeration Date: 05/04/2006
Last Update Date: 01/11/2012

Medicare PECOS Information:

PECOS PAC ID: 8729388855
Enrollment ID: I20151123000311

Medical Identifiers

Medical identifiers for Dr Kelly S Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932167145	NPI	-	NPPES
03376083	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	050914 (New York)	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. Dr Kelly S Rose allows following entities to bill medicare on her behalf.

Entity Name	University Pediatric Dentistry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649389560 PECOS PAC ID: 8628378908 Enrollment ID: O20151119000362

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. Dr Kelly S 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
Dr Kelly S Rose, DDS 1100 Main St, Buffalo, NY 14209-2308 Ph: (716) 242-8200	Dr Kelly S Rose, DDS 1100 Main St, Buffalo, NY 14209-2308 Ph: (716) 242-8200

Reviews and Comments

Dentist in Buffalo, NY

Dr. Leah Capozzi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 403 Main St, Suite 416, Buffalo, NY 14203 Phone: 716-854-7811 Fax: 716-332-0119
Dr. Omar Y Mirza, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-1067
Dr. John Paul Lazarus, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3495 Bailey Ave, Buffalo, NY 14215 Phone: 716-862-8738
Dr. James Thomas Duval, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1134 Delaware Ave, Buffalo, NY 14209 Phone: 716-885-1512
Dr. Elana Korn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 349 Elmwood Ave., Buffalo, NY 14222 Phone: 716-883-9447
Dr. Stephen Neal Abel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 325 Squire Hall, Buffalo, NY 14214 Phone: 954-262-1906
Dr. Shashidhar Ramchandrareddy, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3302 Sheridan Dr, Buffalo, NY 14226 Phone: 617-820-9291

Dr Kelly S Rose, DDS - Medicare Dentist in Buffalo, NY