Dr Javier Rodriguez, MD in San Diego, CA

Dr Javier Rodriguez, MD is a medicare enrolled "Pediatrics" physician in San Diego, California. His current practice location is 4060 Fairmount Ave, Pediatrics Department, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 255-9154.

Dr Javier Rodriguez is licensed to practice in California (license number A82639) 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 1013059385.

Contact Information

	Dr Javier Rodriguez, MD
	4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105-1608
	(619) 255-9154
	(619) 795-9847

Map and Direction

Physician's Profile

Full Name	Dr Javier Rodriguez
Gender	Male
Speciality	Pediatrics
Location	4060 Fairmount Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013059385
Provider Enumeration Date: 02/13/2007
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4880831833
Enrollment ID: I20130510000118

Medical Identifiers

Medical identifiers for Dr Javier Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013059385	NPI	-	NPPES
25622	Other		THE AMERICAN BOARD OF PEDIATRICS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A82639 (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. Dr Javier Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	La Maestra Family Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901

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. Dr Javier 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
Dr Javier Rodriguez, MD 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: (619) 280-4213	Dr Javier Rodriguez, MD 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105-1608 Ph: (619) 255-9154

Reviews and Comments

Pediatrics Doctors in San Diego, CA

Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818
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Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082

Dr Javier Rodriguez, MD - Medicare Pediatrics in San Diego, CA