Mrs Andrea A Rose, FNP - Medicare Nurse Practitioner in Conyers, GA

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Mrs Andrea A Rose, FNP is a medicare enrolled "Nurse Practitioner" physician in Conyers, Georgia. Her current practice location is 2796 Highway 20 Se, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 374-5134.

Mrs Andrea A Rose is licensed to practice in Georgia (license number RN221014) 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 1235626003.

Contact Information

Mrs Andrea A Rose, FNP
2796 Highway 20 Se,
Conyers, GA 30013-2735
(678) 374-5134
Not Available

Map and Direction




Physician's Profile

Full NameMrs Andrea A Rose
GenderFemale
SpecialityNurse Practitioner
Location2796 Highway 20 Se, Conyers, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235626003
  • Provider Enumeration Date: 04/17/2018
  • Last Update Date: 02/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2466798251
  • Enrollment ID: I20190116000605

Medical Identifiers

Medical identifiers for Mrs Andrea A Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235626003NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine RN221014 (Georgia)Secondary
363L00000XNurse Practitioner RN221014 (Georgia)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. Mrs Andrea A Rose allows following entities to bill medicare on her behalf.
Entity Name24 On Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912956251
PECOS PAC ID: 5698688141
Enrollment ID: O20031216000444
Entity NameWalker Lake Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003385964
PECOS PAC ID: 3870832843
Enrollment ID: O20190308002530

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. Mrs Andrea A 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
Mrs Andrea A Rose, FNP
2796 Highway 20 Se,
Conyers, GA 30013-2735

Ph: (678) 374-5134		Mrs Andrea A Rose, FNP
2796 Highway 20 Se,
Conyers, GA 30013-2735

Ph: (678) 374-5134

Reviews and Comments



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.