| Jon Roden, MD | |
|
1007 Goodyear Ave, Gadsden, AL 35903-1195 | |
| (256) 494-4768 | |
| (256) 494-4793 |
| Full Name | Jon Roden |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 1007 Goodyear Ave, Gadsden, Alabama |
| 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 |
|---|---|---|---|
| 1023169612 | NPI | - | NPPES |
| 1023169612 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD.27589 (Alabama) | Primary |
| 207Q00000X | Family Medicine | MD.27589 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gadsden Regional Medical Center | Gadsden, AL | Hospital |
| Marshall Medical Centers | Boaz, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gadsden Regional Physician Group Practice Llc | 1254497670 | 34 |
| Entity Name | American Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | Tuscaloosa Medcenter South Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689689481 PECOS PAC ID: 6305813221 Enrollment ID: O20040910001167 |
| Entity Name | Gadsden Regional Physician Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558506550 PECOS PAC ID: 1254497670 Enrollment ID: O20090309000585 |
| Entity Name | Medcenter Demopolis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184913030 PECOS PAC ID: 0244409134 Enrollment ID: O20110810000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Roden, MD 1007 Goodyear Ave, Gadsden, AL 35903-1195 Ph: (256) 494-4768 | Jon Roden, MD 1007 Goodyear Ave, Gadsden, AL 35903-1195 Ph: (256) 494-4768 |
Dr. Naga Maruthi Kumar Perisetti, MBBS Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1007 Goodyear Ave, Gadsden, AL 35903 Phone: 256-494-4000 Fax: 659-235-6176 |