Karl David Rose, DDS is a medicare enrolled "Dental Hygienist" provider in Battle Ground, Washington. His current practice location is
15 Sw 20th Ave., Battle Ground, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 687-5665.
Karl David Rose is licensed to practice in Washington (license number 4236) 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 1043317449.
Healthcare Provider's Profile
| Full Name | Karl David Rose |
|---|
| Gender | Male |
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| Speciality | Dental Hygienist |
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| Location | 15 Sw 20th Ave., Battle Ground, Washington |
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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: 1043317449
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0749595502
- Enrollment ID: I20150824000424
Medical Identifiers
Medical identifiers for Karl David Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043317449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 9791 (Washington) | Primary |
| 1223G0001X | Dentist - General Practice | 4539 (Washington) | Primary |
| 1223G0001X | Dentist - General Practice | 7107 (Washington) | Primary |
| 124Q00000X | Dental Hygienist | 5419 (Washington) | Primary |
| 124Q00000X | Dental Hygienist | 5766 (Washington) | Primary |
| 124Q00000X | Dental Hygienist | 7057 (Washington) | Primary |
| 124Q00000X | Dental Hygienist | 6008 (Washington) | Primary |
| 124Q00000X | Dental Hygienist | 2969 (Washington) | Primary |
| 124Q00000X | Dental Hygienist | 4236 (Washington) | 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. Karl David 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 |
|---|
Karl David Rose, DDS
Po Box 157,
Battle Ground, WA 98604-0157
Ph: (360) 687-5665 | Karl David Rose, DDS
15 Sw 20th Ave.,
Battle Ground, WA 98604
Ph: (360) 687-5665 |
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