| Dr Sandro R Rodrigues, MD | |
|
206 East Brown Street, East Stroudsburg, PA 18301 | |
| (570) 421-4000 | |
| (570) 476-6213 |
| Full Name | Dr Sandro R Rodrigues |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 206 East Brown Street, East Stroudsburg, Pennsylvania |
| 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 |
|---|---|---|---|
| 1457528697 | NPI | - | NPPES |
| 102198246 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 045602 (Connecticut) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD435171 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Hospital - Anderson Campus | Easton, PA | Hospital |
| St Luke's Hospital - Monroe Campus | Stroudsburg, PA | Hospital |
| St Lukes Quakertown Hospital | Quakertown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Progressive Physician Assoc Inc | 1355243809 | 130 |
| Progressive Physician Assoc Inc | 1355243809 | 130 |
| Entity Name | Progressive Physician Assoc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881646859 PECOS PAC ID: 1355243809 Enrollment ID: O20040123000977 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sandro R Rodrigues, MD 95 Highland Ave, Ste 130, Bethlehem, PA 18017-9483 Ph: (610) 868-1100 | Dr Sandro R Rodrigues, MD 206 East Brown Street, East Stroudsburg, PA 18301 Ph: (570) 421-4000 |
Javed I. Malik, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-421-4000 Fax: 570-476-6213 | |
Charles T Kempf, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-421-8196 Fax: 570-476-6213 | |
Dr. William F Tatu, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 206 East Brown St, East Stroudsburg, PA 18301 Phone: 570-421-4000 Fax: 570-476-6213 |