Dr Ciemone Samatura Rose, PHD, HSPP, NCC in Crown Point, IN - Medicare Clinical Psychologist Provider

Dr Ciemone Samatura Rose, PHD, HSPP, NCC is a medicare enrolled "Psychologist" provider in Crown Point, Indiana. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Midwest Behavioral Health Llc and her current practice location is 2100 N Main St Ste 304, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 546-1900.

Dr Ciemone Samatura Rose is licensed to practice in Indiana (license number 20043067A) 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 1376139949.

Contact Information

	Dr Ciemone Samatura Rose, PHD, HSPP, NCC
	2100 N Main St Ste 304, Crown Point, IN 46307-1877
	(574) 546-1900
	(574) 546-1999

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ciemone Samatura Rose
Gender	Female
Speciality	Clinical Psychologist
Experience	8 Years
Location	2100 N Main St Ste 304, Crown Point, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ciemone Samatura Rose graduated from medical school in 2016

NPI Data:

NPI Number: 1376139949
Provider Enumeration Date: 12/17/2020
Last Update Date: 02/01/2021

Medicare PECOS Information:

PECOS PAC ID: 6709290042
Enrollment ID: I20210128001410

Medical Identifiers

Medical identifiers for Dr Ciemone Samatura Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376139949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20043067A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Behavioral Health Llc	4587834874	76

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. Dr Ciemone Samatura Rose allows following entities to bill medicare on her behalf.

Entity Name	Midwest Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118

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. Dr Ciemone Samatura 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
Dr Ciemone Samatura Rose, PHD, HSPP, NCC Po Box 10299, Fort Wayne, IN 46851-0299 Ph: (574) 546-1900	Dr Ciemone Samatura Rose, PHD, HSPP, NCC 2100 N Main St Ste 304, Crown Point, IN 46307-1877 Ph: (574) 546-1900

Reviews and Comments

Psychologist in Crown Point, IN

Kathy Ann Cain, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2150 W 97th Pl, Crown Point, IN 46307 Phone: 219-808-5140
Adamantia Dina Leftakis, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1115 Ziegfield Ct, Crown Point, IN 46307 Phone: 219-308-2454
Dr. Alexander C. Kristevski, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9330 S Broadway, Abj-va Outpatient Clinic, Crown Point, IN 46307 Phone: 219-662-5098
Robin Christian Shear, PH.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999
Jonathan Royce Vandervlugt, LMHCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9614 Granada Ct Apt 111, Crown Point, IN 46307 Phone: 773-732-1155
Dr. Victoria Colanese, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900
James Fenstermacher, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999

Dr Ciemone Samatura Rose, PHD, HSPP, NCC - Medicare Psychologist in Crown Point, IN