Audra J Rose, PA is a medicare enrolled "Obstetrics & Gynecology" in Idaho Falls, Idaho. Her current practice location is
3450 Potomac Way, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 557-2900.
Audra J Rose is licensed to practice in Idaho (license number M6628) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487877619.
Provider's Profile
| Full Name | Audra J Rose |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3450 Potomac Way, Idaho Falls, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Audra J Rose attended and graduated from in
NPI Data:
- NPI Number: 1487877619
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 12/29/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Audra J Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487877619 | NPI | - | NPPES |
| 807761500 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | TL403 (Wyoming) | Secondary |
| 207V00000X | Obstetrics & Gynecology | M6628 (Idaho) | 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. Audra J 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 |
|---|
Audra J Rose, PA
3450 Potomac Way,
Idaho Falls, ID 83404-4970
Ph: (208) 557-2900 | Audra J Rose, PA
3450 Potomac Way,
Idaho Falls, ID 83404-7407
Ph: (208) 557-2900 |
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