Ms Crystal Rose, PA in Hartford, CT - Medicare Physician Assistant

Ms Crystal Rose, PA is a medicare enrolled "Physician Assistant - Medical" in Hartford, Connecticut. Her current practice location is 80 Seymour Street, Hartford Hospital Er Dept, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 972-0000.

Ms Crystal Rose is licensed to practice in Connecticut (license number 2640) 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 1356621478.

Contact Information

	Ms Crystal Rose, PA
	80 Seymour Street, Hartford Hospital Er Dept, Hartford, CT 06102-5037
	(860) 972-0000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Crystal Rose
Gender	Female
Speciality	Physician Assistant - Medical
Location	80 Seymour Street, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356621478
Provider Enumeration Date: 08/20/2011
Last Update Date: 11/05/2018

Medicare PECOS Information:

PECOS PAC ID: 2163695586
Enrollment ID: I20111101000117

Medical Identifiers

Medical identifiers for Ms Crystal Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356621478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	2640 (Connecticut)	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. Ms Crystal 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
Ms Crystal Rose, PA 80 Seymour Street, Hartford Hospital Er Dept, Hartford, CT 06102-5037 Ph: (860) 972-0000	Ms Crystal Rose, PA 80 Seymour Street, Hartford Hospital Er Dept, Hartford, CT 06102-5037 Ph: (860) 972-0000

Reviews and Comments

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Ms Crystal Rose, PA - Medicare Physician Assistant in Hartford, CT