Mr Carroll Everett Rose, MD is a medicare enrolled "Surgery" physician in Tazewell, Tennessee. His current practice location is
1610 Tazewell Rd, Ste 301, Tazewell, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 626-4288.
Mr Carroll Everett Rose is licensed to practice in Tennessee (license number 7511) 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 1407857352.
Physician's Profile
Full Name | Mr Carroll Everett Rose |
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Gender | Male |
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Speciality | Surgery |
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Location | 1610 Tazewell Rd, Tazewell, Tennessee |
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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: 1407857352
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 01/02/2013
Medicare PECOS Information:
- PECOS PAC ID: 9830098870
- Enrollment ID: I20050811001034
Medical Identifiers
Medical identifiers for Mr Carroll Everett Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407857352 | NPI | - | NPPES |
1528259 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 7511 (Tennessee) | 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. Mr Carroll Everett 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 |
Mr Carroll Everett Rose, MD Po Box 1679, New Tazewell, TN 37825-1679 Ph: (423) 626-4288 | Mr Carroll Everett Rose, MD 1610 Tazewell Rd, Ste 301, Tazewell, TN 37879-3600 Ph: (423) 626-4288 |
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