Dr Rodrigo Vivas, MD is a medicare enrolled "General Practice" physician in North Lauderdale, Florida. His current practice location is
1597 South, State Road 7, Centro Medico Samaritano, North Lauderdale, Florida. You can reach out to his office (for appointments etc.) via phone at
(754) 205-2376.
Dr Rodrigo Vivas is licensed to practice in Florida (license number ACN 337) 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 1578598900.
Physician's Profile
| Full Name | Dr Rodrigo Vivas |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1597 South, State Road 7, North Lauderdale, Florida |
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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: 1578598900
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 02/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 1850345604
- Enrollment ID: I20140116000710
Medical Identifiers
Medical identifiers for Dr Rodrigo Vivas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578598900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | ACN 337 (Florida) | Primary |
| 208D00000X | General Practice | 15564 (Puerto Rico) | 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. Dr Rodrigo Vivas allows following entities to bill medicare on his behalf.
| Entity Name | Reliable Medical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881093367 PECOS PAC ID: 6608176433 Enrollment ID: O20151201001916 |
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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 Rodrigo Vivas 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 Rodrigo Vivas, MD 1597 S State Road 7, Centro Medico Samaritano, North Lauderdale, FL 33068-4603 Ph: (754) 205-2376 | Dr Rodrigo Vivas, MD 1597 South, State Road 7, Centro Medico Samaritano, North Lauderdale, FL 33068 Ph: (754) 205-2376 |
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