Alicia Nicole Rose, CNS, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Parksley, Virginia. Her current practice location is
19056 Greenbush Road, Parksley, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 665-1260.
Alicia Nicole Rose is licensed to practice in Virginia (license number 0024175122) 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 1386018760.
Provider's Profile
Full Name | Alicia Nicole Rose |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 19056 Greenbush Road, Parksley, Virginia |
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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: 1386018760
- Provider Enumeration Date: 11/22/2015
- Last Update Date: 01/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143586867
- Enrollment ID: I20171114001556
Medical Identifiers
Medical identifiers for Alicia Nicole Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386018760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | 0015000927 (Virginia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024175122 (Virginia) | 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. Alicia Nicole Rose allows following entities to bill medicare on her behalf.
Entity Name | Rose Behavioral Healthcare Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124537360 PECOS PAC ID: 9234495953 Enrollment ID: O20171114001458 |
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Entity Name | Meridian Psychotherapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285304055 PECOS PAC ID: 3173910551 Enrollment ID: O20220504001020 |
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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. Alicia Nicole 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 |
Alicia Nicole Rose, CNS, NP 4509 Whitechapel Dr, Virginia Beach, VA 23455-6447 Ph: (757) 460-4655 | Alicia Nicole Rose, CNS, NP 19056 Greenbush Road, Parksley, VA 23421 Ph: (757) 665-1260 |
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