Ms Anna Marie Rodriguez, RD, CSR, LD is a medicare enrolled "Dietitian, Registered - Nutrition, Renal" provider in Mountain Home, Texas. Her current practice location is
159 Nw Rough Creek Rd, Mountain Home, Texas. You can reach out to her office (for appointments etc.) via phone at
(830) 866-3634.
Ms Anna Marie Rodriguez is licensed to practice in Texas (license number DT05346) 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 1376728188.
Healthcare Provider's Profile
| Full Name | Ms Anna Marie Rodriguez |
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| Gender | Female |
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| Speciality | Dietitian, Registered - Nutrition, Renal |
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| Location | 159 Nw Rough Creek Rd, Mountain Home, Texas |
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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: 1376728188
- Provider Enumeration Date: 12/31/2007
- Last Update Date: 12/31/2007
Medicare PECOS Information:
- PECOS PAC ID: 4789113911
- Enrollment ID: I20250131003389
Medical Identifiers
Medical identifiers for Ms Anna Marie Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376728188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DT05346 (Texas) | Secondary |
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | DT05346 (Texas) | 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. Ms Anna Marie Rodriguez allows following entities to bill medicare on her behalf.
| Provider Name | Telemedicine Group Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326338237
PECOS PAC ID: 9830351824
Enrollment ID: O20120509000349 |
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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. Ms Anna Marie 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 |
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Ms Anna Marie Rodriguez, RD, CSR, LD
Po Box 105,
Mountain Home, TX 78058-0105
Ph: (830) 866-3634 | Ms Anna Marie Rodriguez, RD, CSR, LD
159 Nw Rough Creek Rd,
Mountain Home, TX 78058-0105
Ph: (830) 866-3634 |
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