Carri Rose Prom, NP - Nurse Practitioner in Beverly Hills, CA

Carri Rose Prom, NP is a Nurse Practitioner based in Beverly Hills, California. Carri Rose Prom is licensed to practice in California (license number 95009386) and her current practice location is 250 N Robertson Blvd Ste 106a, Beverly Hills, California. She can be reached at her office (for appointments etc.) via phone at (818) 922-2244.

NPI number for Carri Rose Prom is 1477050672 and her current mailing address is 9663 Santa Monica Blvd # 1151, Beverly Hills, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477050672.

Contact Information

Carri Rose Prom, NP
250 N Robertson Blvd Ste 106a,
Beverly Hills, CA 90211-1767
(818) 922-2244
Not Available

Map and Direction




Provider's Profile

Full NameCarri Rose Prom
GenderFemale
SpecialityNurse Practitioner
Location250 N Robertson Blvd Ste 106a, Beverly Hills, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477050672
  • Provider Enumeration Date: 04/12/2018
  • Last Update Date: 03/26/2020

Medical Identifiers

Medical identifiers for Carri Rose Prom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477050672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 196026-30 (Wisconsin)Secondary
163WG0000XRegistered Nurse - General Practice 849992 (California)Secondary
363L00000XNurse Practitioner 95009386 (California)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. Carri Rose Prom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carri Rose Prom, NP
9663 Santa Monica Blvd # 1151,
Beverly Hills, CA 90210-4303

Ph: (818) 922-2244
Carri Rose Prom, NP
250 N Robertson Blvd Ste 106a,
Beverly Hills, CA 90211-1767

Ph: (818) 922-2244

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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