Ms Lisa S Rose, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Dubois, Wyoming. Her current practice location is
5647 Us Highway 26, Dubois, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 455-2516.
Ms Lisa S Rose is licensed to practice in Wyoming (license number 22672.1509) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659734390.
Provider's Profile
| Full Name | Ms Lisa S Rose |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 5647 Us Highway 26, Dubois, Wyoming |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Lisa S Rose attended and graduated from in
NPI Data:
- NPI Number: 1659734390
- Provider Enumeration Date: 03/31/2016
- Last Update Date: 03/22/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Lisa S Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659734390 | NPI | - | NPPES |
| 144824200 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 22672.1509 (Wyoming) | 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 Lisa S 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 Lisa S Rose, FNP-C
5000 Blackmore Rd,
Casper, WY 82609-3345
Ph: (307) 233-6000 | Ms Lisa S Rose, FNP-C
5647 Us Highway 26,
Dubois, WY 82513-9607
Ph: (307) 455-2516 |
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