Dr Etienne Jose Rodriguez, MD - Medicare Family Practice in Dunwoody, GA

Dr Etienne Jose Rodriguez, MD is a medicare enrolled "Family Medicine" physician in Dunwoody, Georgia. He went to Ponce School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Doctor On Demand Professionals P C and his current practice location is 5471 Chamblee Dunwoody Rd, Dunwoody, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 481-0889.

Dr Etienne Jose Rodriguez is licensed to practice in Georgia (license number 067979) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679709539.

Contact Information

Dr Etienne Jose Rodriguez, MD
5471 Chamblee Dunwoody Rd,
Dunwoody, GA 30338-4114
(770) 481-0889
(770) 481-0986

Map and Direction




Physician's Profile

Full NameDr Etienne Jose Rodriguez
GenderMale
SpecialityFamily Practice
Experience17 Years
Location5471 Chamblee Dunwoody Rd, Dunwoody, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Etienne Jose Rodriguez attended and graduated from Ponce School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1679709539
  • Provider Enumeration Date: 06/05/2009
  • Last Update Date: 09/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1557527876
  • Enrollment ID: I20120731000471

Medical Identifiers

Medical identifiers for Dr Etienne Jose Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679709539NPI-NPPES
003125394BMedicaidGA
003125394AMedicaidGA
003125394CMedicaidGA
GA1345MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 81672 (South Carolina)Secondary
207Q00000XFamily Medicine 2018-02700 (North Carolina)Secondary
207Q00000XFamily Medicine C159178 (California)Secondary
207Q00000XFamily Medicine 0101265867 (Virginia)Secondary
207Q00000XFamily Medicine 067979 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Doctor On Demand Professionals P C9436464567119

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 Etienne Jose Rodriguez allows following entities to bill medicare on his behalf.
Entity NameDunwoody Village Clinic, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457494502
PECOS PAC ID: 8022061639
Enrollment ID: O20050223000644
Entity NameDoctor On Demand Professionals P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174931448
PECOS PAC ID: 9436464567
Enrollment ID: O20200417002815

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 Etienne Jose Rodriguez 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 Etienne Jose Rodriguez, MD
5471 Chamblee Dunwoody Rd,
Dunwoody, GA 30338-4114

Ph: (770) 481-0889
Dr Etienne Jose Rodriguez, MD
5471 Chamblee Dunwoody Rd,
Dunwoody, GA 30338-4114

Ph: (770) 481-0889

Reviews and Comments


Family Medicine Doctors in Dunwoody, GA

Torrance Christopher Laury, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 N Shallowford Rd, Suite B, Dunwoody, GA 30338
Phone: 404-778-6920    Fax: 404-778-6901
Dr. Teresa Lianne Beck, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 N Shallowford Rd, Dunwoody, GA 30338
Phone: 404-778-6920    Fax: 404-778-6901
Dr. Oguchi Andrew Osondu Nwosu, M.D., FAAFP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 N Shallowford Rd, Dunwoody, GA 30338
Phone: 404-778-6920    Fax: 404-778-6901
Atiya Kashif Rana, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1861 Peeler Rd, Dunwoody, GA 30338
Phone: 770-730-5800    Fax: 770-730-5803
Dr. James A, Yost, MD, MS, MBA
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11 Dunwoody Park, Suite 150, Dunwoody, GA 30338
Phone: 404-778-6920    
Amir Antonios, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4500 N Shallowford Rd, Dunwoody, GA 30338
Phone: 404-778-6920    Fax: 404-778-4561
Mr. Moinuddin Kazi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4480 N Shallowford Rd, Ste 200, Dunwoody, GA 30338
Phone: 770-455-8285    Fax: 770-350-8973

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.