Jacklyn Dawn Rose, FNP-BC in Sapulpa, OK - Medicare Nurse Practitioner

Jacklyn Dawn Rose, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Sapulpa, Oklahoma. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prophylaxis Healthcare Llc and her current practice location is 303 E Taft Ave Ste 3, Sapulpa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 224-2222.

Jacklyn Dawn Rose is licensed to practice in Oklahoma (license number 92995) 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 1700364387.

Contact Information

	Jacklyn Dawn Rose, FNP-BC
	303 E Taft Ave Ste 3, Sapulpa, OK 74066-5651
	(918) 224-2222
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacklyn Dawn Rose
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	303 E Taft Ave Ste 3, Sapulpa, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacklyn Dawn Rose graduated from nursing school in 2018

NPI Data:

NPI Number: 1700364387
Provider Enumeration Date: 08/05/2018
Last Update Date: 08/05/2018

Medicare PECOS Information:

PECOS PAC ID: 6002168382
Enrollment ID: I20181015003094

Medical Identifiers

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

Identifier	Type	State	Issuer
1700364387	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	92995 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prophylaxis Healthcare Llc	3072784289	21

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. Jacklyn Dawn Rose allows following entities to bill medicare on her behalf.

Entity Name	Prophylaxis Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538453923 PECOS PAC ID: 3072784289 Enrollment ID: O20110920000575

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. Jacklyn Dawn 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
Jacklyn Dawn Rose, FNP-BC 303 E Taft Ave Ste 3, Sapulpa, OK 74066-5651 Ph: (918) 224-2222	Jacklyn Dawn Rose, FNP-BC 303 E Taft Ave Ste 3, Sapulpa, OK 74066-5651 Ph: (918) 224-2222

Reviews and Comments

Nurse Practitioner Nurses in Sapulpa, OK

Ms. Linda C Byrd, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1808 S Hickory St, Sapulpa, OK 74066 Phone: 918-224-5531 Fax: 918-224-1739
Ms. Jenny Dawn Lloyd, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 E Taft Ave, Sapulpa, OK 74066 Phone: 918-224-8425 Fax: 918-224-8426
Misty Stephens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066 Phone: 918-227-1000
Carla Newton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066 Phone: 918-227-1000 Fax: 918-293-3129
Kristin Tidwell, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 W Taft Ave, Sapulpa, OK 74066 Phone: 918-347-8090
Johnnie Brasuell, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1125 E Cleveland Ave, Sapulpa, OK 74066 Phone: 918-224-9310 Fax: 918-756-3993
Mrs. Shea Lyn Despain, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 S Water St, Sapulpa, OK 74066 Phone: 918-347-9022

Jacklyn Dawn Rose, FNP-BC - Medicare Nurse Practitioner in Sapulpa, OK