Audra J Rose, PA is a medicare enrolled "Obstetrics & Gynecology" in Idaho Falls, Idaho. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Women's Healthcare Associates, P.a. and 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 | Physician Assistant |
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| Experience | 18 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 graduated from nursing school in 2006
NPI Data:
- NPI Number: 1487877619
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 12/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486745668
- Enrollment ID: I20070801000734
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Women's Healthcare Associates, P.a. | 3577540616 | 12 |
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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