Dr Camilla Rose, DNP is a medicare enrolled "Midwife" in Fairfax, Virginia. Her current practice location is
3650 Joseph Siewick Dr Ste 203, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 391-1500.
Dr Camilla Rose is licensed to practice in * (Not Available) (license number ) 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 1760048342.
Provider's Profile
| Full Name | Dr Camilla Rose |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 3650 Joseph Siewick Dr Ste 203, Fairfax, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760048342
- Provider Enumeration Date: 05/19/2019
- Last Update Date: 06/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517366974
- Enrollment ID: I20210604001821
Medical Identifiers
Medical identifiers for Dr Camilla Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760048342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 29067 (Tennessee) | Secondary |
| 176B00000X | Midwife | (* (Not Available)) | 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. Dr Camilla Rose allows following entities to bill medicare on her behalf.
| Entity Name | Pediatrix Medical Group Of Tennessee, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497852107
PECOS PAC ID: 2668538265
Enrollment ID: O20090305000758 |
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| Entity Name | Obhg Tennessee, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285924977
PECOS PAC ID: 1850566514
Enrollment ID: O20111207000456 |
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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. Dr Camilla 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 |
|---|
Dr Camilla Rose, DNP
505 Page Dr,
Goodlettsville, TN 37072-3438
Ph: (615) 598-2460 | Dr Camilla Rose, DNP
3650 Joseph Siewick Dr Ste 203,
Fairfax, VA 22033-1712
Ph: (703) 391-1500 |
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