Deirdre Rodericks, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Newton, Massachusetts. She went to Boston University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Ny Society For The Relief Of Ruptured And Crippled Maintaining and her current practice location is
159 Wells Ave, Newton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 243-5777.
Deirdre Rodericks is licensed to practice in Massachusetts (license number 290185) 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 1619330966.
Physician's Profile
| Full Name | Deirdre Rodericks |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 10 Years |
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| Location | 159 Wells Ave, Newton, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Deirdre Rodericks attended and graduated from Boston University School Of Medicine in 2016
NPI Data:
- NPI Number: 1619330966
- Provider Enumeration Date: 04/04/2016
- Last Update Date: 10/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880989565
- Enrollment ID: I20250516002592
Medical Identifiers
Medical identifiers for Deirdre Rodericks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619330966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 267300 (Massachusetts) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 125069738 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 290185 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ny Society For The Relief Of Ruptured And Crippled Maintaining | 4082856513 | 173 |
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. Deirdre Rodericks allows following entities to bill medicare on her behalf.
| Entity Name | Ny Society For The Relief Of Ruptured & Crippled Maintaining |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1902243488
PECOS PAC ID: 4082856513
Enrollment ID: O20130814000000 |
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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. Deirdre Rodericks 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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Deirdre Rodericks, MD
300 1st Ave,
Charlestown, MA 02129-3109
Ph: (617) 952-5299 | Deirdre Rodericks, MD
159 Wells Ave,
Newton, MA 02459-3301
Ph: (617) 243-5777 |
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