Loretta Aurora Gallegos Rose, PA-C, PHARMD is a medicare enrolled "Physician Assistant" physician in Charlotte, North Carolina. Her current practice location is
1350 S Kings Dr, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 446-4490.
Loretta Aurora Gallegos Rose is licensed to practice in North Carolina (license number 0010-13468) 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 1205448263.
Physician's Profile
Full Name | Loretta Aurora Gallegos Rose |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1350 S Kings Dr, Charlotte, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205448263
- Provider Enumeration Date: 08/20/2020
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870949795
- Enrollment ID: I20231030002128
Medical Identifiers
Medical identifiers for Loretta Aurora Gallegos Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205448263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 0010-13468 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-13468 (North Carolina) | 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. Loretta Aurora Gallegos 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 |
Loretta Aurora Gallegos Rose, PA-C, PHARMD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Loretta Aurora Gallegos Rose, PA-C, PHARMD 1350 S Kings Dr, Charlotte, NC 28207-2134 Ph: (704) 446-4490 |
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