Jessica Rodriguez, is a medicare enrolled "Social Worker" provider in Elizabeth, New Jersey. Her current practice location is
1020 Sheridan Ave, Elizabeth, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 659-6130.
Jessica Rodriguez is licensed to practice in New Jersey (license number 44SL05882200) 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 1821445255.
Healthcare Provider's Profile
| Full Name | Jessica Rodriguez |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1020 Sheridan Ave, Elizabeth, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821445255
- Provider Enumeration Date: 05/16/2016
- Last Update Date: 06/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608278841
- Enrollment ID: I20210712001397
Medical Identifiers
Medical identifiers for Jessica Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821445255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00218900 (New Jersey) | Secondary |
| 374J00000X | Doula | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 44SL05882200 (New Jersey) | 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. Jessica Rodriguez allows following entities to bill medicare on her behalf.
| Entity Name | City Of Newark |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356561278
PECOS PAC ID: 8123169182
Enrollment ID: O20100113000101 |
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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. Jessica 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 |
|---|
Jessica Rodriguez,
1020 Sheridan Ave,
Elizabeth, NJ 07208-3044
Ph: (908) 659-6130 | Jessica Rodriguez,
1020 Sheridan Ave,
Elizabeth, NJ 07208-3044
Ph: (908) 659-6130 |
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