Kyle Pendleton Rose, NP in Dyersburg, TN - Medicare Nurse Practitioner

Kyle Pendleton Rose, NP is a medicare enrolled "Nurse Practitioner" in Dyersburg, Tennessee. His current practice location is 420 Wilkinson Dr, Dyersburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at (224) 406-4918.

Kyle Pendleton Rose is licensed to practice in Tennessee (license number APN0000034479) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679358659.

Contact Information

	Kyle Pendleton Rose, NP
	420 Wilkinson Dr, Dyersburg, TN 38024-2085
	(224) 406-4918
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle Pendleton Rose
Gender	Male
Speciality	Nurse Practitioner
Location	420 Wilkinson Dr, Dyersburg, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679358659
Provider Enumeration Date: 08/29/2023
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 1456707488
Enrollment ID: I20231027002021

Medical Identifiers

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

Identifier	Type	State	Issuer
1679358659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APN0000034479 (Tennessee)	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. Kyle Pendleton Rose allows following entities to bill medicare on his behalf.

Entity Name	Wt Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295223279 PECOS PAC ID: 1951650613 Enrollment ID: O20180814002772

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. Kyle Pendleton 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
Kyle Pendleton Rose, NP 1532 Craig Rd, Dyersburg, TN 38024-6750 Ph: (224) 406-4918	Kyle Pendleton Rose, NP 420 Wilkinson Dr, Dyersburg, TN 38024-2085 Ph: (224) 406-4918

Reviews and Comments

Nurse Practitioner Nurses in Dyersburg, TN

Peyton Barnett, DNP FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2550 Parr Ave, Dyersburg, TN 38024 Phone: 731-325-5678
Heather Haddock, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1718 Parr Ave Ste E, Dyersburg, TN 38024 Phone: 731-285-9938
Tammy Javellana, F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1505 Woodlawn Ave Ste A, Dyersburg, TN 38024 Phone: 731-478-6064 Fax: 731-478-6067
Amber Elaine Mejia, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 179 Quail Hollow Dr, Dyersburg, TN 38024 Phone: 870-623-8410
Whitney Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 East Parkview, Dyersburg, TN 38024 Phone: 731-285-2100
Tina Boyd-seng, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1950 Us Highway 51 Byp N, Dyersburg, TN 38024 Phone: 731-217-0449
Leslie Olivia Dunevant, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1999 Saint John Ave, Dyersburg, TN 38024 Phone: 731-286-1400

Kyle Pendleton Rose, NP - Medicare Nurse Practitioner in Dyersburg, TN