Johanna Rodriguez, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bow, New Hampshire. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lawrence Family Doctors Llc and her current practice location is
62 Albin Rd, Bow, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 703-9622.
Johanna Rodriguez is licensed to practice in New Hampshire (license number PENDING) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1629691894.
Provider's Profile
| Full Name | Johanna Rodriguez |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 62 Albin Rd, Bow, New Hampshire |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Johanna Rodriguez graduated from nursing school in 2020
NPI Data:
- NPI Number: 1629691894
- Provider Enumeration Date: 05/22/2020
- Last Update Date: 05/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 3274952197
- Enrollment ID: I20200926000007
Medical Identifiers
Medical identifiers for Johanna Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629691894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | PENDING (New Hampshire) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lawrence Family Doctors Llc | 6002859600 | 2 |
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. Johanna Rodriguez allows following entities to bill medicare on her behalf.
| Entity Name | Lawrence Family Doctors Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295853927
PECOS PAC ID: 6002859600
Enrollment ID: O20050606000136 |
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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. Johanna 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 |
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Johanna Rodriguez, MSN, FNP-BC
62 Albin Rd,
Bow, NH 03304-3707
Ph: (603) 703-9622 | Johanna Rodriguez, MSN, FNP-BC
62 Albin Rd,
Bow, NH 03304-3707
Ph: (603) 703-9622 |
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