Andrew J Rodriguez, PHD is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. His current practice location is
9135 Sw Barnes Rd Ste 561, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 216-2339.
Andrew J Rodriguez is licensed to practice in Oregon (license number 3479) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245885169.
Healthcare Provider's Profile
Full Name | Andrew J Rodriguez |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 9135 Sw Barnes Rd Ste 561, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245885169
- Provider Enumeration Date: 08/07/2019
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597189027
- Enrollment ID: I20200716003560
Medical Identifiers
Medical identifiers for Andrew J Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245885169 | NPI | - | NPPES |
2138642 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | LH60955164 (Washington) | Secondary |
103T00000X | Psychologist | PY61013442 (Washington) | Secondary |
103TC0700X | Psychologist - Clinical | 3479 (Oregon) | 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. Andrew J Rodriguez allows following entities to bill medicare on his behalf.
Entity Name | The Vancouver Clinic Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
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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. Andrew J 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 Address | Practice Location Address |
Andrew J Rodriguez, PHD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Andrew J Rodriguez, PHD 9135 Sw Barnes Rd Ste 561, Portland, OR 97225-6643 Ph: (503) 216-2339 |
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