Hugh Andrew David Cooper Rosett, PA-C
Individual provider Active NPI Physician Assistant · Laughlin, NV
NPI 1164060216 · NPPES record last updated Aug 18, 2024
Key facts
- NPI
- 1164060216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2311 S Casino Dr Ste a-3
Laughlin, NV 89029-1535 - Phone
- (702) 508-0308
- Fax
- (702) 508-9544
- NPI assigned
- Dec 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-State Community Healthcare Center
Paragon Physical Therapy and Rehab LLC
Practice addresses (Care Compare)
2311 S Casino Dr
Laughlin, NV 89029-1535
Phone (702) 508-0308
2585 Miracle Mile
Bullhead City, AZ 86442-7522
8700 S Hwy 95
Mohave Valley, AZ 86440-8519
Phone (928) 768-7113
Hospital & facility affiliations
- Canyon Home Care & Hospice
- Western Arizona Regional Medical Center
- Valley View Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220216002527 | AZ | Practitioner - Physician Assistant | 4880085828 | Reassigns benefits to 2 organizations |
| I20230321000581 | NV | Practitioner - Physician Assistant | 4880085828 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Community Healthcare Center | Current |
Accepting new patients | |
| Tri-State Community Healthcare Center | Past | Accepting new patients |
Locations
8700 S Highway 95
Mohave Valley, AZ 86440
Phone (928) 768-7113
2311 S Casino Dr
Ste A-3
Laughlin, NV 89029
Phone (702) 508-0308
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2311 S Casino Dr Ste a-3
Laughlin, NV 89029-1535
Mailing address
2311 S Casino Dr Ste a-3
Laughlin, NV 89029-1535
Phone (702) 508-0308
Other providers in Laughlin, NV
- Retina Consultants of Nevada LLP
- Dawn Richardson
- Bryanna Rios
- Veronica Rodriguez-Romero
- Tracy Rosenhan
- Jill Salem
- George Sardina
- Cheryl Seipke
- Youjin Seo
- Stephanie Sherwood
All providers in Laughlin, NV · Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.