Patrick J Rose, M.D.
Individual provider Active NPI Family Medicine Physician · Saint Clair, MO
NPI 1811208341 · NPPES record last updated Jul 15, 2013
Key facts
- NPI
- 1811208341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2010019797 (MO)
- Practice address
- 1001 Cardwell St
Saint Clair, MO 63077-1094 - Phone
- (636) 629-3300
- Fax
- (636) 629-7377
- NPI assigned
- Jun 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Saint Louis University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic East Communities
Practice addresses (Care Compare)
1001 Cardwell St
Saint Clair, MO 63077-1094
Phone (636) 629-3300
Hospital & facility affiliations
- Mercy Home Health
- Americare Home Health Solutions
- Centerwell Home Health
- Alternative Home Health Care
- New Haven Hospice Care, Inc
- Mercy Hospice
- Mercy Hospital Washington
- Mercy Hospital St Louis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130830000531 | MO | Practitioner - Family Practice | 6709029259 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010019797 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Family Medicine | Current |
Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
Locations
1001 Cardwell St
Saint Clair, MO 63077
Phone (636) 629-3300
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Interoperability endpoints
- prose114757@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2010019797 | MO | Yes |
Addresses
Primary practice location
1001 Cardwell St
Saint Clair, MO 63077-1094
Mailing address
1001 Cardwell St
Saint Clair, MO 63077-1094
Phone (636) 629-3300
Other providers in Saint Clair, MO
- Kylie Lorraine Rapp
- Rehabcare Group East Inc
- Jenifer Lynn Rhodes
- Anthony Riemann
- Amanda Kay Robbins
- Natalie Schroeder
- Amanda Slater
- Patrick Raymond Smith
- St Clair Allergy-Asthma
- St Clair Family Dentistry
All providers in Saint Clair, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2013. 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.