Antonio Rodriguez, is a medicare enrolled "Emergency Medicine" physician in Olney, Illinois. His current practice location is
800 E Locust St, Olney, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 395-7340.
Antonio Rodriguez is licensed to practice in Illinois (license number 036065824) 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 1114024155.
Physician's Profile
| Full Name | Antonio Rodriguez |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 800 E Locust St, Olney, Illinois |
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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: 1114024155
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 08/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 0648455246
- Enrollment ID: I20110426000082
Medical Identifiers
Medical identifiers for Antonio Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114024155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 036065824 (Illinois) | 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 Rodriguez allows following entities to bill medicare on his behalf.
| Entity Name | Integritas Emergency Physician Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760 |
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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. Antonio 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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Antonio Rodriguez,
303 Nw 11th St,
Fairfield, IL 62837-1203
Ph: (618) 842-2611 | Antonio Rodriguez,
800 E Locust St,
Olney, IL 62450-2553
Ph: (618) 395-7340 |
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