Jeramie Lynn Rosales Rodriguez, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Richmond Heights, Missouri. His current practice location is
1034 S Brentwood Blvd Ste 1250, Richmond Heights, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 328-7958.
Jeramie Lynn Rosales Rodriguez is licensed to practice in Missouri (license number 2023048801) 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 1205290319.
Physician's Profile
| Full Name | Jeramie Lynn Rosales Rodriguez |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1034 S Brentwood Blvd Ste 1250, Richmond Heights, Missouri |
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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: 1205290319
- Provider Enumeration Date: 04/06/2016
- Last Update Date: 02/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547515124
- Enrollment ID: I20200709001348
Medical Identifiers
Medical identifiers for Jeramie Lynn Rosales Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205290319 | NPI | - | NPPES |
| 7100512670 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 89635 (South Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R4227 (Kentucky) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301509041 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2023048801 (Missouri) | 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. Jeramie Lynn Rosales Rodriguez allows following entities to bill medicare on his behalf.
| Entity Name | Ahs Il Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659098101
PECOS PAC ID: 5496111676
Enrollment ID: O20230512001300 |
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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. Jeramie Lynn Rosales 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 |
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Jeramie Lynn Rosales Rodriguez, MD
625 Rayburn Ave,
Saint Louis, MO 63126-1635
Ph: (651) 500-4982 | Jeramie Lynn Rosales Rodriguez, MD
1034 S Brentwood Blvd Ste 1250,
Richmond Heights, MO 63117-1263
Ph: (314) 328-7958 |
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