Kristine Marie Rodriguez Perez, is a
Psychologist based in Jacksonville, Florida. Kristine Marie Rodriguez Perez is licensed to practice in Georgia (license number PSY004550) and her current practice location is
145 Heron Bay Rd, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 548-6000.
NPI number for Kristine Marie Rodriguez Perez is 1326506908 and her current mailing address is 145 Heron Bay Rd, Jacksonville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326506908.
Healthcare Provider's Profile
| Full Name | Kristine Marie Rodriguez Perez |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 145 Heron Bay Rd, Jacksonville, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326506908
- Provider Enumeration Date: 03/04/2019
- Last Update Date: 12/06/2024
Medical Identifiers
Medical identifiers for Kristine Marie Rodriguez Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326506908 | NPI | - | NPPES |
| 1134107113 | Other | MA | MBHP |
| 12529 | Other | MA | HNE |
| 1134107113 | Other | MA | FALLON |
| 042622756 | Other | MA | CCA |
| 1134107113 | Other | MA | NHP |
| 1134107113 | Medicaid | MA | |
| 1134107113 | Other | MA | BEACON |
| 71756 | Other | MA | TUFTS |
| 997303 | Other | MA | NETWORK HEALTH |
| Y10086 | Other | MA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 12327 (Massachusetts) | Secondary |
| 103T00000X | Psychologist | 11615 (Massachusetts) | Secondary |
| 103T00000X | Psychologist | PSY004550 (Georgia) | Primary |
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. Kristine Marie Rodriguez Perez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristine Marie Rodriguez Perez,
145 Heron Bay Rd,
Jacksonville, FL 32218-3595
Ph: (352) 548-6000 | Kristine Marie Rodriguez Perez,
145 Heron Bay Rd,
Jacksonville, FL 32218-3595
Ph: (352) 548-6000 |
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