Kenneth D Rose, MD in Enterprise, OR - Medicare General Surgery

Kenneth D Rose, MD is a medicare enrolled "Surgery" physician in Enterprise, Oregon. He went to Loma Linda University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Wallowa County Health Care District and his current practice location is 603 Medical Parkway, Enterprise, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 426-3870.

Kenneth D Rose is licensed to practice in Oregon (license number 28952) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588658801.

Contact Information

	Kenneth D Rose, MD
	603 Medical Parkway, Enterprise, OR 97828
	(541) 426-3870
	(541) 426-1901

Map and Direction

Physician's Profile

Full Name	Kenneth D Rose
Gender	Male
Speciality	General Surgery
Experience	36 Years
Location	603 Medical Parkway, Enterprise, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth D Rose attended and graduated from Loma Linda University School Of Medicine in 1988

NPI Data:

NPI Number: 1588658801
Provider Enumeration Date: 09/01/2005
Last Update Date: 12/04/2012

Medicare PECOS Information:

PECOS PAC ID: 5395930200
Enrollment ID: I20101117000296

Medical Identifiers

Medical identifiers for Kenneth D Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588658801	NPI	-	NPPES
200355260	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	01055738 (Indiana)	Secondary
208600000X	Surgery	28952 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wallowa Memorial Hospital	Enterprise, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wallowa County Health Care District	4183537566	19

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. Kenneth D Rose allows following entities to bill medicare on his behalf.

Entity Name	Wallowa County Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447256250 PECOS PAC ID: 4183537566 Enrollment ID: O20031120000556

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. Kenneth D 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
Kenneth D Rose, MD 303 S Main St, Suite 212, Mishawaka, IN 46544-2189 Ph: (574) 255-3888	Kenneth D Rose, MD 603 Medical Parkway, Enterprise, OR 97828 Ph: (541) 426-3870

Kenneth D Rose, MD - Medicare General Surgery in Enterprise, OR