Rose J Eapen, MD is a medicare enrolled "Otolaryngology - Pediatric Otolaryngology" physician in Manhattan Beach, California. Her current practice location is
2809 N Sepulveda Blvd, Manhattan Beach, California. You can reach out to her office (for appointments etc.) via phone at
(424) 218-6073.
Rose J Eapen is licensed to practice in North Carolina (license number 2012-00236) 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 1861612772.
Physician's Profile
| Full Name | Rose J Eapen |
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| Gender | Female |
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| Speciality | Otolaryngology - Pediatric Otolaryngology |
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| Location | 2809 N Sepulveda Blvd, Manhattan Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861612772
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 07/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284882762
- Enrollment ID: I20120907000742
Medical Identifiers
Medical identifiers for Rose J Eapen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861612772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | G154556 (California) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | G154556 (California) | Secondary |
| 207YS0012X | Otolaryngology - Sleep Medicine | G154556 (California) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | G154556 (California) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | G154556 (California) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 2012-00236 (North Carolina) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | G154556 (California) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 2012-00236 (North Carolina) | 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. Rose J Eapen allows following entities to bill medicare on her behalf.
| Entity Name | Private Diagnostic Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577 |
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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. Rose J Eapen 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 |
|---|
Rose J Eapen, MD
2711 N Sepulveda Blvd # 520,
Manhattan Beach, CA 90266-2725
Ph: (424) 218-6073 | Rose J Eapen, MD
2809 N Sepulveda Blvd,
Manhattan Beach, CA 90266-2727
Ph: (424) 218-6073 |
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