Dr Olaf Rodriguez, MD in Urbana, IL

Dr Olaf Rodriguez, MD is a medicare enrolled "Dermatology" physician in Urbana, Illinois. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 2019 and has 6 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Vitalskin Medical Group Il Pllc, Vitalskin Medical Group Il Pllc, Vitalskin Medical Group Il Pllc, Vitalskin Medical Group Il Pllc and his current practice location is 1111 W Kenyon Rd, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 819-3376.

Dr Olaf Rodriguez is licensed to practice in Illinois (license number 036171478) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144780594.

Contact Information

	Dr Olaf Rodriguez, MD
	1111 W Kenyon Rd, Urbana, IL 61801-1004
	(217) 819-3376
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Olaf Rodriguez
Gender	Male
Speciality	Dermatology
Experience	6 Years
Location	1111 W Kenyon Rd, Urbana, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Olaf Rodriguez attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 2019

NPI Data:

NPI Number: 1144780594
Provider Enumeration Date: 03/21/2019
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 8224451661
Enrollment ID: I20240919000178

Medical Identifiers

Medical identifiers for Dr Olaf Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144780594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	036171478 (Illinois)	Secondary
207N00000X	Dermatology	036171478 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vitalskin Medical Group Il Pllc	5991116261	54
Vitalskin Medical Group Il Pllc	5991116261	54
Vitalskin Medical Group Il Pllc	5991116261	54
Vitalskin Medical Group Il Pllc	5991116261	54

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. Dr Olaf Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Vitalskin Medical Group Il Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063030252 PECOS PAC ID: 5991116261 Enrollment ID: O20201118002083

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. Dr Olaf 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
Dr Olaf Rodriguez, MD 1111 W Kenyon Rd, Urbana, IL 61801-1004 Ph: () -	Dr Olaf Rodriguez, MD 1111 W Kenyon Rd, Urbana, IL 61801-1004 Ph: (217) 819-3376

Reviews and Comments

Dermatology Doctors in Urbana, IL

Vikas Patel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Carle Forum Ll, Urbana, IL 61801 Phone: 217-383-3110
Jeremy Scott Youse, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1111 W Kenyon Rd Ste B, Urbana, IL 61801 Phone: 217-819-3376 Fax: 217-729-7788

Dr Olaf Rodriguez, MD - Medicare Dermatology in Urbana, IL