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Martha Deborah Rose

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

900 23rd St NW, Washington, DC 20037-2342

PECOS Enrollment

This provider is enrolled in PECOS as MARTHA ROSE.

Based on the most recent information from CMS, provider Martha Deborah Rose is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1053566406
Provider Type
Individual
Full Name
Rose, Martha Deborah
Title
Mrs.
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/27/2008
Last Updated
11/1/2022

Contact Information

Practice Location

900 23rd St NW, Washington, DC 20037-2342

(202) 715-4000

Unlisted Fax

Mailing Location

20416 Bloomingville Ct, Germantown, MD 20876-5648

(301) 540-8647

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN40365 District of Columbia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R116317 Maryland

Martha Deborah Rose

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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