Mrs Charlie Clushettea Rose, APRN in Bowling Green, KY

Mrs Charlie Clushettea Rose, APRN is a medicare enrolled "Nurse Practitioner - Family" in Bowling Green, Kentucky. Her current practice location is 811 Fairview Ave, Bowling Green, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 904-7029.

Mrs Charlie Clushettea Rose is licensed to practice in Kentucky (license number 3016967) 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 1245996644.

Contact Information

	Mrs Charlie Clushettea Rose, APRN
	811 Fairview Ave, Bowling Green, KY 42101-4969
	(270) 904-7029
	(270) 826-0212

Map and Direction

Provider's Profile

Full Name	Mrs Charlie Clushettea Rose
Gender	Female
Speciality	Nurse Practitioner - Family
Location	811 Fairview Ave, Bowling Green, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245996644
Provider Enumeration Date: 11/10/2021
Last Update Date: 11/15/2022

Medicare PECOS Information:

PECOS PAC ID: 8820485220
Enrollment ID: I20220504001592

Medical Identifiers

Medical identifiers for Mrs Charlie Clushettea Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245996644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3016967 (Kentucky)	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. Mrs Charlie Clushettea Rose allows following entities to bill medicare on her behalf.

Entity Name	Matthew 25 Aids Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457355125 PECOS PAC ID: 3375513641 Enrollment ID: O20040727000113

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210209002652

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. Mrs Charlie Clushettea 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
Mrs Charlie Clushettea Rose, APRN 3042 Natural Way, Bowling Green, KY 42101-4492 Ph: (270) 303-3035	Mrs Charlie Clushettea Rose, APRN 811 Fairview Ave, Bowling Green, KY 42101-4969 Ph: (270) 904-7029

Reviews and Comments

Nurse Practitioner Nurses in Bowling Green, KY

Marcia Atherton, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1048 Ashley St Ste 103a, Bowling Green, KY 42103 Phone: 270-599-0958
Mrs. Kamala Mechelle Brooks, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1777 Ashley Cir, Bowling Green, KY 42104 Phone: 270-781-4090
Paula Devore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Natchez Trace Ave Ste 205, Bowling Green, KY 42103 Phone: 270-745-7246 Fax: 270-282-2027
Mrs. Demara Andrea Goodrich, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Fairway St, Bowling Green, KY 42103 Phone: 270-781-3910
Mrs. Shellie D Hardcastle, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1808 Fax: 270-796-5516
Louise Elizabeth Webb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-781-5111
Dawn Garrett -wright, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Park Street Ste 204, Psychiatric Associates, Bowling Green, KY 42101 Phone: 270-843-5103

Mrs Charlie Clushettea Rose, APRN - Medicare Nurse Practitioner in Bowling Green, KY