Ms Lisa S Rose, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Dubois, Wyoming. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Health Center Of Central Wyoming Inc and 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 |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 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 graduated from nursing school in 2016
NPI Data:
- NPI Number: 1659734390
- Provider Enumeration Date: 03/31/2016
- Last Update Date: 03/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072893585
- Enrollment ID: I20161129000844
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Health Center Of Central Wyoming Inc | 3375454705 | 29 |
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. Ms Lisa S Rose allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Center Of Central Wyoming Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447480561
PECOS PAC ID: 3375454705
Enrollment ID: O20031105000279 |
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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 |
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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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