Stivaly Rodriguez, MD in Methuen, MA

Stivaly Rodriguez, MD is a medicare enrolled "Pediatrics" physician in Methuen, Massachusetts. Her current practice location is 380r Merrimack St Ste 3b, Methuen, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 687-6355.

Stivaly Rodriguez is licensed to practice in Massachusetts (license number 1014721) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215500111.

Contact Information

	Stivaly Rodriguez, MD
	380r Merrimack St Ste 3b, Methuen, MA 01844-5884
	(978) 687-6355
	Not Available

Map and Direction

Physician's Profile

Full Name	Stivaly Rodriguez
Gender	Female
Speciality	Pediatrics
Location	380r Merrimack St Ste 3b, Methuen, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215500111
Provider Enumeration Date: 07/20/2021
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3274987896
Enrollment ID: I20230929001568

Medical Identifiers

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

Identifier	Type	State	Issuer
1215500111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35284R (Puerto Rico)	Secondary
208000000X	Pediatrics	1014721 (Massachusetts)	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. Stivaly Rodriguez allows following entities to bill medicare on her behalf.

Entity Name	Steward Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332

Entity Name	Revere Medical Of Massachusetts Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336976539 PECOS PAC ID: 0749715795 Enrollment ID: O20241127001349

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. Stivaly 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
Stivaly Rodriguez, MD 380r Merrimack St Ste 3b, Methuen, MA 01844-5884 Ph: (978) 687-6355	Stivaly Rodriguez, MD 380r Merrimack St Ste 3b, Methuen, MA 01844-5884 Ph: (978) 687-6355

Reviews and Comments

Pediatrics Doctors in Methuen, MA

Dr. Karen Rose Barnett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 Lawrence St, Methuen, MA 01844 Phone: 978-685-0977 Fax: 978-685-4394
Eve Bello Guerrero-pajela, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 380r Merrimack St, Suite 3b, Methuen, MA 01844 Phone: 978-687-6355 Fax: 978-722-6846
Sarah Elizabeth Ravelo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 147 Pelham St, Methuen, MA 01844 Phone: 978-683-3491
Richard Laspina, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 413 Broadway, Methuen, MA 01844 Phone: 978-683-1974 Fax: 978-689-9710
Bronie Gorelik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 380r Merrimack St, Methuen, MA 01844 Phone: 978-687-6355
Sherrill A Davis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 413 Broadway, Methuen, MA 01844 Phone: 978-683-1974 Fax: 978-689-9710

Stivaly Rodriguez, MD - Medicare Pediatrics in Methuen, MA