| Justin Dean Rodriguez, | |
|
2301 Erwin Rd, Durham, NC 27705-4699 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Justin Dean Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 Years |
| Location | 2301 Erwin Rd, Durham, North Carolina |
| 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 |
|---|---|---|---|
| 1174901185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2021-02449 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rex Hospital | Raleigh, NC | Hospital |
| Johnston Health | Smithfield, NC | Hospital |
| Maria Parham Medical Center | Henderson, NC | Hospital |
| Unc Rockingham | Eden, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Radiology Consultants Pa | 4385537992 | 68 |
| Wake Radiology Diagnostic Imaging Inc | 5092611863 | 66 |
| Entity Name | Wake Radiology Diagnostic Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538123450 PECOS PAC ID: 5092611863 Enrollment ID: O20031211000441 |
| Entity Name | Wake Radiology Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285698126 PECOS PAC ID: 4385537992 Enrollment ID: O20040206000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Dean Rodriguez, Po Box 63362, Charlotte, NC 28263-3362 Ph: (919) 684-8111 | Justin Dean Rodriguez, 2301 Erwin Rd, Durham, NC 27705-4699 Ph: (919) 684-8111 |
Mary Margaret Woodruff, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-6111 | |
Dr. Roger L Cothran Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 | |
Zachary Angel, Radiology Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Reginald R Pareja, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3022 Croasdaile Dr Ste 101, Durham, NC 27705 Phone: 877-780-5559 | |
Mamata Myneni, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Banner Good Samaritan Medical Center, Durham, NC 27705 Phone: 919-684-8111 | |
Dr. Matthew Jacob Boyer, M.D., PH.D. Radiology Medicare: Medicare Enrolled Practice Location: Durham Vamc Department Of Radiation Oncology, 508 Fulton St, Durham, NC 27705 Phone: 919-286-6996 | |
Hersh Rajesh Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Duke University Medical Center, Durham, NC 27710 Phone: 919-684-2711 |