Dr Alisa A Roda, MD - Medicare Pediatrics in Jackson, CA

Dr Alisa A Roda, MD is a medicare enrolled "Pediatrics" physician in Jackson, California. Her current practice location is 12140 New York Ranch Rd, Jackson Rancheria Health Complex, Jackson, California. You can reach out to her office (for appointments etc.) via phone at (209) 257-2400.

Dr Alisa A Roda is licensed to practice in California (license number G79164) 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 1477553261.

Contact Information

Dr Alisa A Roda, MD
12140 New York Ranch Rd, Jackson Rancheria Health Complex,
Jackson, CA 95642-9407
(209) 257-2400
(209) 257-2403

Map and Direction




Physician's Profile

Full NameDr Alisa A Roda
GenderFemale
SpecialityPediatrics
Location12140 New York Ranch Rd, Jackson, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477553261
  • Provider Enumeration Date: 07/22/2005
  • Last Update Date: 01/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395964738
  • Enrollment ID: I20140916002576

Medical Identifiers

Medical identifiers for Dr Alisa A Roda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477553261NPI-NPPES
00G791640MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics G79164 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Alisa A Roda allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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 Alisa A Roda 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 AddressPractice Location Address
Dr Alisa A Roda, MD
10305 Promenade Pkwy,
Elk Grove, CA 95757-9400

Ph: (916) 478-5000
Dr Alisa A Roda, MD
12140 New York Ranch Rd, Jackson Rancheria Health Complex,
Jackson, CA 95642-9407

Ph: (209) 257-2400

Reviews and Comments


Pediatrics Doctors in Jackson, CA

Dr. Amy A. Appleton, M.D.
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Practice Location: 100 Mission Blvd, Suite 2600, Jackson, CA 95642
Phone: 209-257-1722    
Jayasree Vasudevan Nair, MD
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Practice Location: 100 Mission Blvd Ste 2600, Jackson, CA 95642
Phone: 209-257-1722    Fax: 209-257-1726
Dr. Vikram Ramkumar Kumar, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 100 Mission Blvd, Suite 2600, Jackson, CA 95642
Phone: 209-257-1722    Fax: 209-257-1726
Dr. David J Stone, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 Mission Blvd, Suite 2600, Jackson, CA 95642
Phone: 209-257-1722    Fax: 209-257-1726

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.