Richard Sun Kyu Kwan Rose, MD - Medicare Internal Medicine in Slc, UT

Richard Sun Kyu Kwan Rose, MD is a medicare enrolled "Internal Medicine" physician in Slc, Utah. His current practice location is 500 Foothill Dr, Slc, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 582-1565.

Richard Sun Kyu Kwan Rose is licensed to practice in Utah (license number 5756670-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447272323.

Contact Information

Richard Sun Kyu Kwan Rose, MD
500 Foothill Dr,
Slc, UT 84148-0001
(801) 582-1565
(801) 584-2576



Physician's Profile

Full NameRichard Sun Kyu Kwan Rose
GenderMale
SpecialityInternal Medicine
Location500 Foothill Dr, Slc, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447272323
  • Provider Enumeration Date: 07/23/2006
  • Last Update Date: 01/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7719170828
  • Enrollment ID: I20130523000601

Medical Identifiers

Medical identifiers for Richard Sun Kyu Kwan Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447272323NPI-NPPES
9370535OtherWAAETNA
1447272323MedicaidWA
0211ROOtherWAREGENCE
0260516OtherWAL&I AND CRIME VICTIMS
8567380MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 5756670-1205 (Utah)Primary
207R00000XInternal Medicine MD60136118 (Washington)Secondary

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. Richard Sun Kyu Kwan 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 AddressPractice Location Address
Richard Sun Kyu Kwan Rose, MD
500 Foothill Dr,
Slc, UT 84148-0001

Ph: (801) 582-1565
Richard Sun Kyu Kwan Rose, MD
500 Foothill Dr,
Slc, UT 84148-0001

Ph: (801) 582-1565

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Internal Medicine Doctors in Slc, UT

Dr. Crystal Brennen Wallentine, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1937 E Saint Marys Dr, Slc, UT 84108
Phone: 801-865-0549    
Dr. Stephanie A Carney, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 500 Foothill Blvd, Mailcode 110, Slc, UT 84148
Phone: 801-582-1565    
Rebecca Baum, MD, PHD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 389 S 900 E, Slc, UT 84102
Phone: 385-282-2750    
Dr. Katherine Alisa Anderson, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 50 N Medical Dr, Slc, UT 84132
Phone: 801-581-2121    
Yong Hui Ahn, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24 S 1100 E Ste 310, Slc, UT 84102
Phone: 801-328-1260    Fax: 801-350-4361
Jessica Ann Walsh, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Medical Dr, Slc, UT 84132
Phone: 801-581-7899    

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