Hailey J Rose, DO in Bonners Ferry, ID - Medicare Pediatrics

Hailey J Rose, DO is a medicare enrolled "Pediatrics" physician in Bonners Ferry, Idaho. Her current practice location is 6615 Comanche St, Kaniksu Health Services, Bonners Ferry, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 267-1718.

Hailey J Rose is licensed to practice in South Carolina (license number LL1272) 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 1679702088.

Contact Information

	Hailey J Rose, DO
	6615 Comanche St, Kaniksu Health Services, Bonners Ferry, ID 83805
	(208) 267-1718
	(208) 267-9197

Physician's Profile

Full Name	Hailey J Rose
Gender	Female
Speciality	Pediatrics
Location	6615 Comanche St, Bonners Ferry, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679702088
Provider Enumeration Date: 07/07/2009
Last Update Date: 09/14/2012

Medicare PECOS Information:

PECOS PAC ID: 0749431666
Enrollment ID: I20121127000065

Medical Identifiers

Medical identifiers for Hailey J Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679702088	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	LL1272 (South Carolina)	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. Hailey J Rose allows following entities to bill medicare on her behalf.

Entity Name	Boundary Regional Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538447727 PECOS PAC ID: 2264341221 Enrollment ID: O20050211000195

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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. Hailey J 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
Hailey J Rose, DO Po Box Q, Kaniksu Health Services, Bonners Ferry, ID 83805-1200 Ph: (208) 267-1718	Hailey J Rose, DO 6615 Comanche St, Kaniksu Health Services, Bonners Ferry, ID 83805 Ph: (208) 267-1718

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Hailey J Rose, DO - Medicare Pediatrics in Bonners Ferry, ID

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Increased access to testing, treatment has reduced hepatitis C in low- and middle-income countries

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Pediatrics Doctors in Bonners Ferry, ID