Kelley Ann Rosebrock, FNP - Medicare Nurse Practitioner in Fort Mill, SC

Kelley Ann Rosebrock, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Mill, South Carolina. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acs Primary Care Physicians - Southeast Pc and her current practice location is 704 Gold Hill Rd, Suite 1200, Fort Mill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 667-3380.

Kelley Ann Rosebrock is licensed to practice in South Carolina (license number 19252) 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 1376682195.

Contact Information

Kelley Ann Rosebrock, FNP
704 Gold Hill Rd, Suite 1200,
Fort Mill, SC 29715-8906
(704) 667-3380
(704) 667-3381



Provider's Profile

Full NameKelley Ann Rosebrock
GenderFemale
SpecialityNurse Practitioner
Experience18 Years
Location704 Gold Hill Rd, Fort Mill, South Carolina
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:
  • Kelley Ann Rosebrock graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1376682195
  • Provider Enumeration Date: 02/06/2007
  • Last Update Date: 02/22/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7214013184
  • Enrollment ID: I20150625001508

Medical Identifiers

Medical identifiers for Kelley Ann Rosebrock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376682195NPI-NPPES
1376682195MedicaidNC
7004104MedicaidNC
NP1197MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 212050 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 0050-02423 (North Carolina)Secondary
363L00000XNurse Practitioner 19252 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 19252 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acs Primary Care Physicians - Southeast Pc5193620714323

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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. Kelley Ann Rosebrock allows following entities to bill medicare on her behalf.
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270

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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. Kelley Ann Rosebrock 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
Kelley Ann Rosebrock, FNP
Po Box 602148,
Charlotte, NC 28260-2148

Ph: (704) 667-3380
Kelley Ann Rosebrock, FNP
704 Gold Hill Rd, Suite 1200,
Fort Mill, SC 29715-8906

Ph: (704) 667-3380

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Nurse Practitioner Nurses in Fort Mill, SC

Kayla Kipp Mosser, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 704 Gold Hill Rd Ste 207, Fort Mill, SC 29715
Phone: 803-802-5900    
Karen Mcgarvey, F.N.P
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1740 Sc 160 West, Fort Mill, SC 29708
Phone: 866-389-2727    
Chinelo Ofoma, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715
Phone: 803-802-5900    Fax: 803-802-7101
Meghan Bynum Fields, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715
Phone: 704-667-3380    
Kelly Taylor Williamson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 704 Gold Hill Rd, Fort Mill, SC 29715
Phone: 803-835-0420    
Brett Alexandra Wnuk, MSN, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 852 Gold Hill Rd Ste 204, Fort Mill, SC 29708
Phone: 803-228-4038    Fax: 866-884-5371
Mrs. Lindsey Nicole Bauman, CPNP-PC, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1171 Market St Ste 201, Fort Mill, SC 29708
Phone: 419-297-3657    

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