Jennifer Bagwell De La Rosa, DO - Medicare Family Practice in West Burlington, IA

Jennifer Bagwell De La Rosa, DO is a medicare enrolled "Family Medicine" physician in West Burlington, Iowa. She went to Philadelphia College Of Osteopathic Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southeast Iowa Regional Medical Center Inc and her current practice location is 1201 W Agency Rd, West Burlington, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 754-4242.

Jennifer Bagwell De La Rosa is licensed to practice in Maryland (license number H0062423) 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 1417915208.

Contact Information

Jennifer Bagwell De La Rosa, DO
1201 W Agency Rd,
West Burlington, IA 52655-1645
(319) 754-4242
(319) 754-4079



Physician's Profile

Full NameJennifer Bagwell De La Rosa
GenderFemale
SpecialityFamily Practice
Experience28 Years
Location1201 W Agency Rd, West Burlington, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Bagwell De La Rosa attended and graduated from Philadelphia College Of Osteopathic Medicine in 1996
  NPI Data:
  • NPI Number: 1417915208
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 09/14/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8628095445
  • Enrollment ID: I20090709000525

Medical Identifiers

Medical identifiers for Jennifer Bagwell De La Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417915208NPI-NPPES
408962600MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine H0062423 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Great River Home Health CareWest burlington, IAHome health agency
Great River HospiceWest burlington, IAHospice
Great River Medical CenterWest burlington, IAHospital
Oakview Nursing And RehabilitationBurlington, IANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Iowa Regional Medical Center Inc3870496417189

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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. Jennifer Bagwell De La Rosa allows following entities to bill medicare on her behalf.
Entity NameSoutheast Iowa Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164433884
PECOS PAC ID: 3870496417
Enrollment ID: O20040130000139

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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. Jennifer Bagwell De La Rosa 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 AddressPractice Location Address
Jennifer Bagwell De La Rosa, DO
1201 W Agency Rd,
West Burlington, IA 52655-1645

Ph: (319) 754-4242
Jennifer Bagwell De La Rosa, DO
1201 W Agency Rd,
West Burlington, IA 52655-1645

Ph: (319) 754-4242

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Family Medicine Doctors in West Burlington, IA

Dr. Dennis George Miller I, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1706 W Agency Rd, West Burlington, IA 52655
Phone: 319-768-5858    Fax: 319-753-2301
David W Carlson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1201 W Agency Rd, West Burlington, IA 52655
Phone: 319-754-4242    Fax: 319-754-4079
Michael K Abouassaly, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1201 W Agency Rd, West Burlington, IA 52655
Phone: 319-754-4242    Fax: 319-754-4079
William S Daft, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1201 W Agency Rd, West Burlington, IA 52655
Phone: 319-754-4242    Fax: 319-754-4079
Dr. Anjali Katiyar Sobti, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1201 W Agency Rd, West Burlington, IA 52655
Phone: 319-754-4242    
Thomas C Boyd, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1201 W Agency Rd, West Burlington, IA 52655
Phone: 319-754-4242    Fax: 319-754-4709

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