Lisette Rodriguez, is a medicare enrolled "Social Worker" provider in Manchester, Connecticut. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Community Health Resources, Inc. and her current practice location is
444 Center St, Manchester, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 646-3888.
Lisette Rodriguez is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396121687.
Healthcare Provider's Profile
| Full Name | Lisette Rodriguez |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 7 Years |
|---|
| Location | 444 Center St, Manchester, Connecticut |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Lisette Rodriguez graduated from medical school in 2019
NPI Data:
- NPI Number: 1396121687
- Provider Enumeration Date: 08/10/2015
- Last Update Date: 06/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 8729470091
- Enrollment ID: I20220118001525
Medical Identifiers
Medical identifiers for Lisette Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396121687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Health Resources, Inc. | 5597652149 | 50 |
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. Lisette Rodriguez allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Resources, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215979810
PECOS PAC ID: 5597652149
Enrollment ID: O20040301000155 |
|---|
| Entity Name | First Choice Health Centers Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215923131
PECOS PAC ID: 2769417609
Enrollment ID: O20060127000447 |
|---|
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. Lisette 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 |
|---|
Lisette Rodriguez,
2 Waterside Xing Ste 401,
Windsor, CT 06095-1587
Ph: (860) 697-3351 | Lisette Rodriguez,
444 Center St,
Manchester, CT 06040
Ph: (860) 646-3888 |
Reviews and Comments