Tracy Sue Rose, AGACNP-BC in Lafayette, IN - Medicare Nurse Practitioner

Tracy Sue Rose, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Lafayette, Indiana. Her current practice location is 1701 S Creasy Ln, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 502-4000.

Tracy Sue Rose is licensed to practice in Indiana (license number 71013031A) 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 1770291148.

Contact Information

	Tracy Sue Rose, AGACNP-BC
	1701 S Creasy Ln, Lafayette, IN 47905-4972
	(765) 502-4000
	(765) 502-4001

Map and Direction

Provider's Profile

Full Name	Tracy Sue Rose
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1701 S Creasy Ln, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770291148
Provider Enumeration Date: 11/14/2022
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3971978628
Enrollment ID: I20230411000763

Medical Identifiers

Medical identifiers for Tracy Sue Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770291148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71013031A (Indiana)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	71013031A (Indiana)	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. Tracy Sue Rose allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Tracy Sue 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
Tracy Sue Rose, AGACNP-BC Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Tracy Sue Rose, AGACNP-BC 1701 S Creasy Ln, Lafayette, IN 47905-4972 Ph: (765) 502-4000

Reviews and Comments

Nurse Practitioner Nurses in Lafayette, IN

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Harmony Stine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 355, Lafayette, IN 47905 Phone: 765-807-7988 Fax: 765-807-7989
Monica Michele Roadruck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Daugherty Dr Ste 140, Lafayette, IN 47909 Phone: 765-502-4190 Fax: 765-502-4191
Julie J Debord, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Venice Michele Jarrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100

Tracy Sue Rose, AGACNP-BC - Medicare Nurse Practitioner in Lafayette, IN