Ottilie T Rose
MD | Pediatrics | Female
Ottilie T Rose, MD is a Derby, Connecticut based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ottilie T Rose is
78 Pershing Dr, Derby, Connecticut - 06418-1433. She can be contacted on phone at
203-709-8873 and fax number 203-709-8689.
Ottilie T Rose is a sole proprietor of her business.
NPI number (Unique professional ID) for Ottilie T Rose is
1982626719 which was assigned by NPPES on 24 Jul, 2006 and it was last updated on 01 Jun, 2022.
Ottilie T Rose license number is
030635 for Pediatrics (208000000X) in Connecticut.
Ottilie T Rose is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ottilie T Rose basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ottilie T Rose |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Ottilie T Rose address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 78 Pershing Dr
Derby, CT, 06418-1433
United States |
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| Phone Number : | 203-709-8873 |
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| Fax Number : | 203-709-8689 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1982626719 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jul, 2006 |
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| Last Updated On : | 01 Jun, 2022 |
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Medicare Participation:
Ottilie T Rose participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9133153844 |
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| Medicare Enrollment ID : | I20050922000259 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | New York Medical College |
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| Graduation Year : | 1985 |
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| Accepts Medicare? | Yes. Ottilie T Rose accepts medicare insurance. |
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Group Practice Association:
Ottilie T Rose is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ottilie T Rose is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Qmg5 Llc | 2062820913 | 19 | 57 Monroe Tpke
Trumbull, CT - 066111315
Ph: 2036751345 | Yes |
| Qmg3 Llc | 8628353117 | 18 | 389 Bridgeport Ave
Shelton, CT - 064845303
Ph: 2035674171 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ottilie T Rose are as mentioned. Primary taxonomy code for Ottilie T Rose, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 030635 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Ottilie T Rose such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 001306358 | MEDICAID | CT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 78 Pershing Dr
Derby, CT, 06418-1433
United States |
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| Phone Number : | 203-709-8873 |
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| Fax Number : | 203-709-8689 |
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Business Location:
Patients can refer following map for directions to
Ottilie T Rose practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.