| Roger Rodenhuis, MD | |
|
Sl57 Lake Cherokee, Henderson, TX 75652 | |
| (817) 516-8811 | |
| (817) 516-8444 |
| Full Name | Roger Rodenhuis |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | Sl57 Lake Cherokee, Henderson, 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 |
|---|---|---|---|
| 1316030380 | NPI | - | NPPES |
| 264322700 | Medicaid | FL | |
| P00053082 | Other | DC | RAILROAD MEDICARE |
| 29047 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | J9308 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Starr County Memorial Hospital | Rio grande city, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Pa | 7315907128 | 202 |
| Entity Name | Rio Grande Anesthesia & Pain Medicine Consultants, P .a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457234 PECOS PAC ID: 4880507763 Enrollment ID: O20031106000738 |
| Entity Name | Frio Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952308132 PECOS PAC ID: 4981599693 Enrollment ID: O20040219000995 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Texarkana Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467009621 PECOS PAC ID: 6507197001 Enrollment ID: O20191015001481 |
| Entity Name | Ect Anesthesia Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467980706 PECOS PAC ID: 8628493947 Enrollment ID: O20200804001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Rodenhuis, MD Po Box 7909, Longview, TX 75607-7909 Ph: (817) 516-8811 | Roger Rodenhuis, MD Sl57 Lake Cherokee, Henderson, TX 75652 Ph: (817) 516-8811 |
Dr. Mark A Hackbarth, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-655-6536 |