Dr Alice T Rose, PHD in Atlanta, GA - Medicare Psychologist Provider

Dr Alice T Rose, PHD is a medicare enrolled "Psychologist - Clinical" provider in Atlanta, Georgia. Her current practice location is 520 Emory Cir Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 886-8680.

Dr Alice T Rose is licensed to practice in Georgia (license number 0000983) 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 1043510167.

Contact Information

	Dr Alice T Rose, PHD
	520 Emory Cir Ne, Atlanta, GA 30307-1145
	(678) 886-8680
	Not Available

Healthcare Provider's Profile

Full Name	Dr Alice T Rose
Gender	Female
Speciality	Psychologist - Clinical
Location	520 Emory Cir Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043510167
Provider Enumeration Date: 10/22/2010
Last Update Date: 06/11/2013

Medicare PECOS Information:

PECOS PAC ID: 7012225519
Enrollment ID: I20151002001057

Medical Identifiers

Medical identifiers for Dr Alice T Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043510167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0000983 (Georgia)	Primary

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 Alice T 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 Alice T Rose, PHD 520 Emory Cir Ne, Atlanta, GA 30307-1145 Ph: (678) 886-8680	Dr Alice T Rose, PHD 520 Emory Cir Ne, Atlanta, GA 30307-1145 Ph: (678) 886-8680

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Dr Alice T Rose, PHD - Medicare Psychologist in Atlanta, GA