Courtney E Rose, DO - Medicare Pediatrics in Jacksonville, TX

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Courtney E Rose, DO is a medicare enrolled "Pediatrics" physician in Jacksonville, Texas. Her current practice location is 203 Nacogdoches St, Suite 275, Jacksonville, Texas. You can reach out to her office (for appointments etc.) via phone at (309) 541-5472.

Courtney E Rose is licensed to practice in Texas (license number N9947) 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 1265727457.

Contact Information

Courtney E Rose, DO
203 Nacogdoches St, Suite 275,
Jacksonville, TX 75766-2462
(309) 541-5472
(903) 541-5470

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Physician's Profile

Full NameCourtney E Rose
GenderFemale
SpecialityPediatrics
Location203 Nacogdoches St, Jacksonville, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265727457
  • Provider Enumeration Date: 06/15/2011
  • Last Update Date: 07/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1153591870
  • Enrollment ID: I20110906000717

Medical Identifiers

Medical identifiers for Courtney E Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265727457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics N9947 (Texas)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. Courtney E Rose allows following entities to bill medicare on her behalf.
Entity NameEast Texas Medical Center Healthcare Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124062484
PECOS PAC ID: 3678486222
Enrollment ID: O20031114000152
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106

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. Courtney E 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 AddressPractice Location Address
Courtney E Rose, DO
203 Nacogdoches St, Suite 275,
Jacksonville, TX 75766-2462

Ph: (309) 541-5472		Courtney E Rose, DO
203 Nacogdoches St, Suite 275,
Jacksonville, TX 75766-2462

Ph: (309) 541-5472

Reviews and Comments


Pediatrics Doctors in Jacksonville, TX

Jacqueline Catney Dubois, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 510 E Commerce St, Jacksonville, TX 75766
Phone: 903-535-9041    
Dr. Charles P Cameron, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 419 S Main St, Jacksonville, TX 75766
Phone: 903-294-5442    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.