Mr Lanny Rose Jr, is a
Physician Assistant based in Becket, Massachusetts. Mr Lanny Rose Jr is licensed to practice in Massachusetts (license number 9098) and his current practice location is
536 Broker Hill Road, Becket, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(413) 770-2928.
NPI number for Mr Lanny Rose Jr is 1073998225 and his current mailing address is Po Box 412, Becket, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073998225.
Provider's Profile
| Full Name | Mr Lanny Rose Jr |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 536 Broker Hill Road, Becket, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073998225
- Provider Enumeration Date: 07/29/2015
- Last Update Date: 07/29/2015
Medical Identifiers
Medical identifiers for Mr Lanny Rose Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073998225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 9098 (Massachusetts) | Primary |
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. Mr Lanny Rose Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Lanny Rose Jr,
Po Box 412,
Becket, MA 01223-0412
Ph: (413) 770-2928 | Mr Lanny Rose Jr,
536 Broker Hill Road,
Becket, MA 01223
Ph: (413) 770-2928 |
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