Kenneth D Rose, MD is a medicare enrolled "Surgery" physician in Enterprise, Oregon. 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.
Physician's Profile
Full Name | Kenneth D Rose |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 603 Medical Parkway, Enterprise, Oregon |
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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 in
NPI Data:
- NPI Number: 1588658801
- Provider Enumeration Date: 09/01/2005
- Last Update Date: 12/04/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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