Kenneth G Rosario-rodriguez Jr, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Brandon, Florida. His current practice location is
119 Oakfield Drive Brandon Florida 33511, Brandon, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 681-5551.
Kenneth G Rosario-rodriguez Jr is licensed to practice in * (Not Available) (license number ) 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 1548790231.
Physician's Profile
| Full Name | Kenneth G Rosario-rodriguez Jr |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 119 Oakfield Drive Brandon Florida 33511, Brandon, Florida |
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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: 1548790231
- Provider Enumeration Date: 06/14/2017
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052765179
- Enrollment ID: I20230922003619
Medical Identifiers
Medical identifiers for Kenneth G Rosario-rodriguez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548790231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 332629 (Louisiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kenneth G Rosario-rodriguez Jr allows following entities to bill medicare on his behalf.
| Entity Name | River Oaks Emergency Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407448186
PECOS PAC ID: 6901214584
Enrollment ID: O20210420001910 |
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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. Kenneth G Rosario-rodriguez Jr 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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Kenneth G Rosario-rodriguez Jr, MD
119 Oakfield Drive Brandon Florida,
Brandon, FL 33511
Ph: (813) 681-5551 | Kenneth G Rosario-rodriguez Jr, MD
119 Oakfield Drive Brandon Florida 33511,
Brandon, FL 33511
Ph: (813) 681-5551 |
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