Kolleen Dawn Rose, OD in Blacksburg, VA - Medicare Optometrist Provider

Kolleen Dawn Rose, OD is a medicare enrolled "Optometrist" provider in Blacksburg, Virginia. Her current practice location is 1440 S Main St, Blacksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 953-2020.

Kolleen Dawn Rose is licensed to practice in Virginia (license number 0618003402) 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 1386389534.

Contact Information

	Kolleen Dawn Rose, OD
	1440 S Main St, Blacksburg, VA 24060-5568
	(540) 953-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kolleen Dawn Rose
Gender	Female
Speciality	Optometrist
Location	1440 S Main St, Blacksburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386389534
Provider Enumeration Date: 05/02/2022
Last Update Date: 07/11/2024

Medicare PECOS Information:

PECOS PAC ID: 9335689504
Enrollment ID: I20240913003798

Medical Identifiers

Medical identifiers for Kolleen Dawn Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386389534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0618003402 (Virginia)	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. Kolleen Dawn Rose allows following entities to bill medicare on her behalf.

Provider Name	Dovie Eye Care Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710136965 PECOS PAC ID: 6507922903 Enrollment ID: O20090310000620

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. Kolleen Dawn 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
Kolleen Dawn Rose, OD 1440 S Main St, Blacksburg, VA 24060-5568 Ph: (540) 953-2020	Kolleen Dawn Rose, OD 1440 S Main St, Blacksburg, VA 24060-5568 Ph: (540) 953-2020

Reviews and Comments

Optometrist in Blacksburg, VA

Steve E Jacobs, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 N Main St, Ste 101, Blacksburg, VA 24060 Phone: 540-953-0136 Fax: 540-953-1358
Dr. Olivia Lee Schaubach, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Professional Park Dr Se, Suite 5, Blacksburg, VA 24060 Phone: 540-552-4573 Fax: 540-552-4612
Optometrist Medicare: Medicare Enrolled Practice Location: 620 N Main St Ste 101, Blacksburg, VA 24060 Phone: 540-953-0136 Fax: 855-300-5126
Dr. John Michael Dovie, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1440 S Main St, Suite 100, Blacksburg, VA 24060 Phone: 540-953-2020
Dr. Steve Jacobs, Optometrist Optometrist Medicare: Not Enrolled in Medicare Practice Location: 620 N Main St, Suite 101, Blacksburg, VA 24060 Phone: 540-953-0136 Fax: 540-953-1358
Optometrist Medicare: Medicare Enrolled Practice Location: 1344 S Main St Ste 2, Blacksburg, VA 24060 Phone: 540-953-2020 Fax: 866-294-5349

Kolleen Dawn Rose, OD - Medicare Optometrist in Blacksburg, VA