Jennifer Rodriguez, MD - Medicare Internal Medicine in Gresham, OR

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Jennifer Rodriguez, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Gresham, Oregon. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 25050 Se Stark St, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 674-1848.

Jennifer Rodriguez is licensed to practice in Oregon (license number MD210968) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104318419.

Contact Information

Jennifer Rodriguez, MD
25050 Se Stark St,
Gresham, OR 97030-3327
(503) 674-1848
Not Available

Map and Direction




Physician's Profile

Full NameJennifer Rodriguez
GenderFemale
SpecialityInternal Medicine
Experience8 Years
Location25050 Se Stark St, Gresham, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Rodriguez attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1104318419
  • Provider Enumeration Date: 06/01/2018
  • Last Update Date: 07/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5496158537
  • Enrollment ID: I20240828003729

Medical Identifiers

Medical identifiers for Jennifer Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104318419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD210968 (Oregon)Secondary
207R00000XInternal Medicine 149570 (Florida)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology MD210968 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081338

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. Jennifer Rodriguez allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services - Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013

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. Jennifer 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 AddressPractice Location Address
Jennifer Rodriguez, MD
3303 S Bond Ave,
Portland, OR 97239-4501

Ph: (503) 494-4373		Jennifer Rodriguez, MD
25050 Se Stark St,
Gresham, OR 97030-3327

Ph: (503) 674-1848

Reviews and Comments


Internal Medicine Doctors in Gresham, OR

Kathrin Rose Meyers, D.O.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-413-8407    Fax: 503-413-6951
Dr. Kathryn L Huyssoon, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030
Phone: 503-674-5818    Fax: 503-674-6709
Dr. Brittany Nicole Kishel, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-413-8407    Fax: 503-413-6951
Amy Katherine Chaumeton, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-674-1580    Fax: 503-674-1581
Aura Theresa Bondoc De Olazo, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030
Phone: 503-674-1580    Fax: 503-674-1581
Dr. Brittney B Mensen, DO
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030
Phone: 503-665-8176    Fax: 503-665-8178

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.