Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN in Rancho Cucamonga, CA

Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rancho Cucamonga, California. Her current practice location is 8453 Fir Dr Apt D, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at (818) 473-0156.

Arlene Aretha Taylor Rose is licensed to practice in California (license number 95006428) 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 1174993604.

Contact Information

	Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN
	8453 Fir Dr Apt D, Rancho Cucamonga, CA 91730-4160
	(818) 473-0156
	(641) 207-4228

Map and Direction

Provider's Profile

Full Name	Arlene Aretha Taylor Rose
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8453 Fir Dr Apt D, Rancho Cucamonga, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174993604
Provider Enumeration Date: 09/27/2015
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0042580623
Enrollment ID: I20170714002511

Medical Identifiers

Medical identifiers for Arlene Aretha Taylor Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174993604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	716641 (California)	Secondary
163W00000X	Registered Nurse	78207 (California)	Secondary
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	78207 (California)	Secondary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary
261QM0855X	Clinic/center - Adolescent And Children Mental Health	(* (Not Available))	Secondary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	95006428 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1099329 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95006428 (California)	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. Arlene Aretha Taylor Rose allows following entities to bill medicare on her behalf.

Entity Name	Ehab Yacoub Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071

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. Arlene Aretha Taylor 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
Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN 113 N San Vicente Blvd Ste 253, Beverly Hills, CA 90211-2329 Ph: (424) 209-4500	Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN 8453 Fir Dr Apt D, Rancho Cucamonga, CA 91730-4160 Ph: (818) 473-0156

Reviews and Comments

Nurse Practitioner Nurses in Rancho Cucamonga, CA

Dorian Valdez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7567 Rhode Island Ct, Rancho Cucamonga, CA 91730 Phone: 909-646-2893
Dawn M Mcclure, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8470 Carson Pl Unit 30, Rancho Cucamonga, CA 91730 Phone: 314-440-8502
Jiao Feng, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8112 Milliken Ave Ste 201, Rancho Cucamonga, CA 91730 Phone: 909-466-7337
Mrs. Dionne A Gonzales, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6584 Elderberry Ct, Rancho Cucamonga, CA 91739 Phone: 323-407-1675
Monica B Xie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8235 Rochester Ave Ste 110, Rancho Cucamonga, CA 91730 Phone: 909-484-4900
Bernice Chinyere Ivoko, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13146 Mungo Ct, Rancho Cucamonga, CA 91739 Phone: 562-824-5099
Chinwe Julian Anekwe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11007 Skyglow Dr, Rancho Cucamonga, CA 91730 Phone: 310-908-2120

Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN - Medicare Nurse Practitioner in Rancho Cucamonga, CA