Mrs Heather Tiffany Rosa I, CRNP in Kingston, PA

Mrs Heather Tiffany Rosa I, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Kingston, Pennsylvania. Her current practice location is 511 Pierce St, Kingston, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 714-3333.

Mrs Heather Tiffany Rosa I is licensed to practice in Pennsylvania (license number SP020032) 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 1356906598.

Contact Information

	Mrs Heather Tiffany Rosa I, CRNP
	511 Pierce St, Kingston, PA 18704-5731
	(570) 714-3333
	(570) 338-3993

Map and Direction

Provider's Profile

Full Name	Mrs Heather Tiffany Rosa I
Gender	Female
Speciality	Nurse Practitioner - Family
Location	511 Pierce St, Kingston, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356906598
Provider Enumeration Date: 05/02/2019
Last Update Date: 08/31/2020

Medicare PECOS Information:

PECOS PAC ID: 1557788668
Enrollment ID: I20200903000005

Medical Identifiers

Medical identifiers for Mrs Heather Tiffany Rosa I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356906598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP020032 (Pennsylvania)	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 Heather Tiffany Rosa I allows following entities to bill medicare on her behalf.

Entity Name	Medical Center Of Northeastern Pa Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063715639 PECOS PAC ID: 1951579762 Enrollment ID: O20110721000872

Entity Name	Ultra Care Urgent And Family Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205334729 PECOS PAC ID: 1951662063 Enrollment ID: O20180307000606

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 Heather Tiffany Rosa I 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 Heather Tiffany Rosa I, CRNP 511 Pierce St, Kingston, PA 18704-5731 Ph: (570) 714-3333	Mrs Heather Tiffany Rosa I, CRNP 511 Pierce St, Kingston, PA 18704-5731 Ph: (570) 714-3333

Reviews and Comments

Nurse Practitioner Nurses in Kingston, PA

Matthew Booth, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Pierce St Ste 320, Kingston, PA 18704 Phone: 570-479-1627
Mr. Thomas Mickowski, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Pierce St, Kingston, PA 18704 Phone: 570-243-3300 Fax: 570-338-3993
Angela Luongo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 382 Pierce St, Kingston, PA 18704 Phone: 570-288-7231
Stephanie Grencavage, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 Pierce St, Kingston, PA 18704 Phone: 570-288-3535
Mrs. Glorymardy Cruz, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Pierce St, Kingston, PA 18704 Phone: 570-714-3333
Catherine Champi, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 Wyoming Ave, Suite 1, Kingston, PA 18704 Phone: 570-288-5441 Fax: 570-288-9613
Brenda Miller Tocket, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 79 S Gates Ave, Kingston, PA 18704 Phone: 570-406-7350

Mrs Heather Tiffany Rosa I, CRNP - Medicare Nurse Practitioner in Kingston, PA