| Jose Angel Rodriguez Jr, NURSE PRACTITIONER | |
|
60257 Bodnar Blvd, Mishawaka, IN 46544-9342 | |
| (574) 212-2801 | |
| Not Available |
| Full Name | Jose Angel Rodriguez Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 60257 Bodnar Blvd, Mishawaka, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598284820 | NPI | - | NPPES |
| 28192740A | Other | IN | STATE OF INDIANA |
| 71007457A | Other | IN | STATE OF INDIANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71007457A (Indiana) | Primary |
| Entity Name | Sound Physicians Of Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
| Entity Name | Karefirst Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639545882 PECOS PAC ID: 4587968862 Enrollment ID: O20160205002355 |
| Entity Name | Cnp Operating Co Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518386739 PECOS PAC ID: 8325263734 Enrollment ID: O20201105002659 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Angel Rodriguez Jr, NURSE PRACTITIONER 60257 Bodnar Blvd, Mishawaka, IN 46544-9342 Ph: () - | Jose Angel Rodriguez Jr, NURSE PRACTITIONER 60257 Bodnar Blvd, Mishawaka, IN 46544-9342 Ph: (574) 212-2801 |
Kyla M Schauss, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240 | |
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516 | |
Amy M Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5314 Lincolnway E, Mishawaka, IN 46544 Phone: 574-584-2812 Fax: 574-584-2813 | |
Laura Roberts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 413 W Mckinley Ave, Mishawaka, IN 46545 Phone: 574-282-3230 | |
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321 | |
Shea Lee Warner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700 | |
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556 |