Crea Rose, in Salem, IL - Medicare Nurse Practitioner

Crea Rose, is a medicare enrolled "Nurse Practitioner" in Salem, Illinois. Her current practice location is 126 N Hotze Rd, Salem, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 495-4241.

Crea Rose is licensed to practice in Illinois (license number 209.025104) 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 1366184053.

Contact Information

	Crea Rose,
	126 N Hotze Rd, Salem, IL 62881-5237
	(618) 495-4241
	(618) 495-4143

Map and Direction

Provider's Profile

Full Name	Crea Rose
Gender	Female
Speciality	Nurse Practitioner
Location	126 N Hotze Rd, Salem, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366184053
Provider Enumeration Date: 04/12/2022
Last Update Date: 11/23/2022

Medicare PECOS Information:

PECOS PAC ID: 7911373261
Enrollment ID: I20221012001039

Medical Identifiers

Medical identifiers for Crea Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366184053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.025104 (Illinois)	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. Crea Rose allows following entities to bill medicare on her behalf.

Entity Name	Advanced Surgical Technology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497159024 PECOS PAC ID: 3274857685 Enrollment ID: O20150113000768

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. Crea 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
Crea Rose, 1307 E Mccord St, Centralia, IL 62801-3610 Ph: (618) 899-9200	Crea Rose, 126 N Hotze Rd, Salem, IL 62881-5237 Ph: (618) 495-4241

Reviews and Comments

Nurse Practitioner Nurses in Salem, IL

Kathern Joan Norman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 W Whittaker St, Salem, IL 62881 Phone: 618-548-3740
Rachel Benjamin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-900-1070
Melissa J Kohnen, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4590 Fax: 618-548-8275
Tamara Dee Foltz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 W Whittaker St, Salem, IL 62881 Phone: 618-548-3740 Fax: 618-548-3705
Mrs. Deborah L Malone, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4545 Fax: 618-548-4577
Ms. Amy L. Mclean, APRN, NP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4545 Fax: 618-545-4577

Crea Rose, - Medicare Nurse Practitioner in Salem, IL