Dr Juan Carlos Rodriguez, MD is a medicare enrolled "Pediatrics" physician in Bonita, California. His current practice location is
3955 Bonita Rd, Building E, Bonita, California. You can reach out to his office (for appointments etc.) via phone at
(619) 409-6517.
Dr Juan Carlos Rodriguez is licensed to practice in California (license number A76332) 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 1467423525.
Physician's Profile
| Full Name | Dr Juan Carlos Rodriguez |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 3955 Bonita Rd, Bonita, California |
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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: 1467423525
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224093463
- Enrollment ID: I20041129000968
Medical Identifiers
Medical identifiers for Dr Juan Carlos Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467423525 | NPI | - | NPPES |
| A76332 | Other | CA | MD LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | A76332 (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 Juan Carlos Rodriguez allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Dr Juan Carlos 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 Juan Carlos Rodriguez, MD
3955 Bonita Rd, Building E,
Bonita, CA 91902-1230
Ph: (800) 290-5000 | Dr Juan Carlos Rodriguez, MD
3955 Bonita Rd, Building E,
Bonita, CA 91902-1230
Ph: (619) 409-6517 |
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