Kathleen R Rodriguez, ACNP in Lackland A F B, TX

Kathleen R Rodriguez, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Lackland A F B, Texas. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Physiatry Group Llc and her current practice location is 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 916-4549.

Kathleen R Rodriguez is licensed to practice in Arkansas (license number A03453ANP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316256746.

Contact Information

	Kathleen R Rodriguez, ACNP
	2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908
	(210) 916-4549
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathleen R Rodriguez
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	2200 Bergquist Dr Ste 1, Lackland A F B, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen R Rodriguez graduated from nursing school in 2014

NPI Data:

NPI Number: 1316256746
Provider Enumeration Date: 10/04/2010
Last Update Date: 10/04/2010

Medicare PECOS Information:

PECOS PAC ID: 0446576391
Enrollment ID: I20150311002355

Medical Identifiers

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

Identifier	Type	State	Issuer
1316256746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	A03453ANP (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Mission At Air Force Village	San antonio, TX	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Physiatry Group Llc	1759353519	31

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. Kathleen R Rodriguez allows following entities to bill medicare on her behalf.

Entity Name	Vpa Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702

Entity Name	Legacy Physiatry Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20070907000584

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. Kathleen R 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
Kathleen R Rodriguez, ACNP 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 Ph: (210) 916-4549	Kathleen R Rodriguez, ACNP 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 Ph: (210) 916-4549

Reviews and Comments

Nurse Practitioner Nurses in Lackland A F B, TX

Karen Haveman, MSN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Attn: Ob/gyn Clnic/ Sgobg, Lackland A F B, TX 78236 Phone: 210-292-6452
Ms. Sara Ellen Kennedy, RNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn: Credentials (cms), Lackland A F B, TX 78236 Phone: 210-292-6115 Fax: 210-292-6158
Ms. Corinne Ann Ricci, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Ste. #1, Lackland A F B, TX 78236 Phone: 210-292-0340 Fax: 210-292-6158
Ms. Felicia Lauten, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236 Phone: 210-292-0340
Patti Dale, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-6152
Mrs. Cynthia Rayson Lightner, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Attn: Credentials (sghc), Lackland A F B, TX 78236 Phone: 210-292-6707 Fax: 210-292-7964

Kathleen R Rodriguez, ACNP - Medicare Nurse Practitioner in Lackland A F B, TX