| Dr Joseph D Roderique, MD | |
|
1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | |
| (863) 680-7000 | |
| (866) 264-8519 |
| Full Name | Dr Joseph D Roderique |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 12 Years |
| Location | 1600 Lakeland Hills Blvd, Lakeland, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760895205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME140352 (Florida) | Primary |
| 171000000X | Military Health Care Provider | 0101258805 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Regional Medical Center | Lakeland, FL | Hospital |
| Union Hospital | Dover, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Watson Clinic Llp | 1456258979 | 365 |
| Partners Physician Group | 4183529340 | 409 |
| Entity Name | Watson Clinic LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316940695 PECOS PAC ID: 1456258979 Enrollment ID: O20031215000113 |
| Entity Name | US Anesthesia Partners of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph D Roderique, MD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000 | Dr Joseph D Roderique, MD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000 |
Frances Marie Harris, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 |
Clark Harris Galbraith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 518 Lake Hollingsworth Dr, Lakeland, FL 33803 Phone: 863-683-3949 |
Dr. Gordon Wayne Ondra, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 343 Heatherpoint Dr, Lakeland, FL 33809 Phone: 407-808-5928 |
Tito C. Saldana, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd., Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 |
Dr. Reza Yasrebi, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 352-867-8898 Fax: 352-732-6282 |
Ramiz Gundkalli, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 352-867-8898 Fax: 352-732-6282 |
James Allen Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 |