| Orson P Rodriguez, MD | |
|
2355 E Grapevine Mills Cir, Grapevine, TX 76051-2047 | |
| (972) 539-6330 | |
| (972) 539-3077 |
| Full Name | Orson P Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 2355 E Grapevine Mills Cir, Grapevine, Texas |
| 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 |
|---|---|---|---|
| 1174542351 | NPI | - | NPPES |
| 23389 | Other | OK | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23389 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | Q3282 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellevue Health & Rehabilitation Center | Oklahoma city, OK | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Long Term Care Specialists, Inc | 3476550740 | 33 |
| Mercy Oklahoma Ambulatory Services Llc | 9830447036 | 52 |
| Entity Name | Long Term Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497761159 PECOS PAC ID: 3476550740 Enrollment ID: O20061030000218 |
| Entity Name | Mercy Oklahoma Ambulatory Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922509173 PECOS PAC ID: 9830447036 Enrollment ID: O20180803002054 |
| Entity Name | Careconnectmd Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578244018 PECOS PAC ID: 0840728473 Enrollment ID: O20250110001104 |
| Mailing Address | Practice Location Address |
|---|---|
| Orson P Rodriguez, MD Po Box 9101, Coppell, TX 75019-9494 Ph: (972) 745-7500 | Orson P Rodriguez, MD 2355 E Grapevine Mills Cir, Grapevine, TX 76051-2047 Ph: (972) 539-6330 |
Dongchul Paek, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2355 E Grapevine Mills Cir, Grapevine, TX 76051 Phone: 888-726-5116 Fax: 888-637-5197 | |
Dr. Adrienne L Prentiss, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St, Ste 510, Grapevine, TX 76051 Phone: 817-251-1225 Fax: 817-251-1228 | |
Dr. Saba Shabnam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Lancaster Dr Ste 107, Grapevine, TX 76051 Phone: 817-510-9645 Fax: 817-685-6047 | |
Chad A Hogan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1280 S Main St Ste 100, Grapevine, TX 76051 Phone: 817-310-0898 Fax: 817-310-5524 | |
April Long, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 W College St, Grapevine, TX 76051 Phone: 817-374-9743 | |
Eric R Futscher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 W College St Ste 100, Grapevine, TX 76051 Phone: 817-912-0442 Fax: 817-329-5668 |