Antonio Hurtado Rodriguez, MD in Pomona, CA

Antonio Hurtado Rodriguez, MD is a medicare enrolled "General Practice" physician in Pomona, California. His current practice location is 630 N Park Ave, Pomona, California. You can reach out to his office (for appointments etc.) via phone at (909) 622-3700.

Antonio Hurtado Rodriguez is licensed to practice in California (license number 109646) 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 1255587820.

Contact Information

	Antonio Hurtado Rodriguez, MD
	630 N Park Ave, Pomona, CA 91768-3621
	(909) 622-3700
	(909) 622-3744

Map and Direction

Physician's Profile

Full Name	Antonio Hurtado Rodriguez
Gender	Male
Speciality	General Practice
Location	630 N Park Ave, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255587820
Provider Enumeration Date: 08/14/2008
Last Update Date: 02/02/2020

Medicare PECOS Information:

PECOS PAC ID: 5496871576
Enrollment ID: I20100927000351

Medical Identifiers

Medical identifiers for Antonio Hurtado Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255587820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	109646 (California)	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. Antonio Hurtado Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Antonio Hurtado Rodriguez M.d. A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891003869 PECOS PAC ID: 2163548249 Enrollment ID: O20100927000275

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. Antonio Hurtado 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
Antonio Hurtado Rodriguez, MD 630 N Park Ave, Pomona, CA 91768-3621 Ph: (909) 622-3700	Antonio Hurtado Rodriguez, MD 630 N Park Ave, Pomona, CA 91768-3621 Ph: (909) 622-3700

Reviews and Comments

General Practice Doctors in Pomona, CA

Charles Jeng, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3530 W Pomona Blvd, Pomona, CA 91769 Phone: 909-595-1221
Mrs. Aruna Udau Shah, MD General Practice Medicare: Medicare Enrolled Practice Location: 825 N Park Ave, Pomona, CA 91768 Phone: 909-622-0339 Fax: 909-622-3823
Dr. Raheel Chaudhry, MD General Practice Medicare: Medicare Enrolled Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131
Dr. Eshani Niranya Karu, MD General Practice Medicare: Medicare Enrolled Practice Location: 1900 Royalty Dr Ste 250, Pomona, CA 91767 Phone: 909-623-6581

Antonio Hurtado Rodriguez, MD - Medicare General Practice in Pomona, CA