Mrs Rosa M Prouhet, CNP is a medicare enrolled "Nurse Practitioner" in Cahokia, Illinois. Her current practice location is
818 Upper Cahokia Rd, Cahokia, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 310-1296.
Mrs Rosa M Prouhet is licensed to practice in Illinois (license number 209006099) 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 1578629945.
Provider's Profile
Full Name | Mrs Rosa M Prouhet |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 818 Upper Cahokia Rd, Cahokia, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578629945
- Provider Enumeration Date: 12/29/2006
- Last Update Date: 04/30/2013
Medicare PECOS Information:
- PECOS PAC ID: 6406151612
- Enrollment ID: I20160225002718
Medical Identifiers
Medical identifiers for Mrs Rosa M Prouhet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578629945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041275771 (Illinois) | Secondary |
163W00000X | Registered Nurse | 124452 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 209006099 (Illinois) | Primary |
363L00000X | Nurse Practitioner | 124452 (Missouri) | Secondary |
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 Rosa M Prouhet 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 Rosa M Prouhet, CNP 8080 State St, East Saint Louis, IL 62203-1808 Ph: (618) 397-3303 | Mrs Rosa M Prouhet, CNP 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 Ph: (618) 310-1296 |
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