Axel Rodriguez Rosa, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Harrisburg, Pennsylvania. His current practice location is
111 S Front St, Harrisburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 782-3131.
Axel Rodriguez Rosa is licensed to practice in Pennsylvania (license number MT229447) 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 1093210817.
Physician's Profile
Full Name | Axel Rodriguez Rosa |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 111 S Front St, Harrisburg, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093210817
- Provider Enumeration Date: 03/25/2018
- Last Update Date: 06/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345611968
- Enrollment ID: I20230118002644
Medical Identifiers
Medical identifiers for Axel Rodriguez Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093210817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 35.146644 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | MT229447 (Pennsylvania) | Primary |
207R00000X | Internal Medicine | 333546 (Louisiana) | Secondary |
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. Axel Rodriguez Rosa allows following entities to bill medicare on his behalf.
Entity Name | Hni Medical Services At Glenwood Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669962064 PECOS PAC ID: 0547518920 Enrollment ID: O20180801000659 |
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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. Axel Rodriguez Rosa 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 |
Axel Rodriguez Rosa, MD 111 S Front St, Harrisburg, PA 17101-2010 Ph: () - | Axel Rodriguez Rosa, MD 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 782-3131 |
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