| Colleen Rose, NP | |
|
400 N Pepper Ave, Dept. General Surgery Mod#3, Colton, CA 92324-1801 | |
| (909) 580-6210 | |
| (909) 580-1363 |
| Full Name | Colleen Rose |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 400 N Pepper Ave, Colton, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871753566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP 18595 (California) | Primary |
| 163W00000X | Registered Nurse | RN 577240 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pulmonology Group Llc | 3274846001 | 9 |
| Paragon Physical Therapy And Rehab Llc | 4284902339 | 73 |
| Entity Name | Lakeside Orthopedic Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275564916 PECOS PAC ID: 1052316445 Enrollment ID: O20060918000307 |
| Entity Name | Pulmonology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134507189 PECOS PAC ID: 3274846001 Enrollment ID: O20150722004148 |
| Entity Name | Vein Envy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225528565 PECOS PAC ID: 6507111671 Enrollment ID: O20180613000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Rose, NP Po Box 670, Redlands, CA 92373-0221 Ph: (909) 580-6210 | Colleen Rose, NP 400 N Pepper Ave, Dept. General Surgery Mod#3, Colton, CA 92324-1801 Ph: (909) 580-6210 |
Mr. Raymond Balagtas Tinio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 829 N La Cadena Dr, Colton, CA 92324 Phone: 562-310-5772 Fax: 818-752-9911 | |
Mrs. Esther Y Lo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1181 N Mount Vernon Ave, Colton, CA 92324 Phone: 909-498-2356 Fax: 877-824-9080 | |
Ms. Maria R Lawrence, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Center For Employee Health And Wellness, Colton, CA 92324 Phone: 909-580-1701 Fax: 909-580-1359 | |
Venice Ababat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1449 Linville Ln, Colton, CA 92324 Phone: 909-835-8864 | |
Nicole Genevieve Williams, MD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2186 Fax: 909-580-3814 | |
Jane Nwokeabia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 | |
Adaobi Maureen Adimorah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 Fax: 909-580-2165 |