Mr Fabian Rodriguez, NP - Medicare Nurse Practitioner in Fort Walton Beach, FL

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Mr Fabian Rodriguez, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Walton Beach, Florida. His current practice location is 1005 Mar Walt Dr, Fort Walton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 863-8100.

Mr Fabian Rodriguez is licensed to practice in Florida (license number APRN11013610) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174989115.

Contact Information

Mr Fabian Rodriguez, NP
1005 Mar Walt Dr,
Fort Walton Beach, FL 32547-6707
(850) 863-8100
(850) 863-8548

Map and Direction




Provider's Profile

Full NameMr Fabian Rodriguez
GenderMale
SpecialityNurse Practitioner - Family
Location1005 Mar Walt Dr, Fort Walton Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174989115
  • Provider Enumeration Date: 01/06/2016
  • Last Update Date: 06/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9739484924
  • Enrollment ID: I20161101002339

Medical Identifiers

Medical identifiers for Mr Fabian Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174989115NPI-NPPES
122221500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11013610 (Florida)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. Mr Fabian Rodriguez allows following entities to bill medicare on his behalf.
Entity NameArcadia Medical Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891980215
PECOS PAC ID: 6800803289
Enrollment ID: O20060309000193
Entity NameFlorida Medical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750399598
PECOS PAC ID: 5799786687
Enrollment ID: O20070726000554
Entity NameDedicated Senior Medical Center Of Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881055366
PECOS PAC ID: 4486932100
Enrollment ID: O20161101001703

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. Mr Fabian 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 AddressPractice Location Address
Mr Fabian Rodriguez, NP
1005 Mar Walt Dr,
Fort Walton Beach, FL 32547-6707

Ph: (850) 863-8100		Mr Fabian Rodriguez, NP
1005 Mar Walt Dr,
Fort Walton Beach, FL 32547-6707

Ph: (850) 863-8100

Reviews and Comments


Nurse Practitioner Nurses in Fort Walton Beach, FL

Celeste Ann Macdonald, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547
Phone: 850-431-6183    Fax: 850-431-6497
Brittany Nicole Grimes, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone: 850-863-8100    Fax: 850-243-0594
Sylvia Wages, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547
Phone: 850-226-6801    Fax: 877-413-5104
Robert Nicholas Donofrio, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548
Phone: 850-833-7451    Fax: 850-833-7439
Emily Herman,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 319 Green Acres Rd Ste 103, Fort Walton Beach, FL 32547
Phone: 850-862-2385    
Julie Clausen Powell, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1005 Mar Walt Drive, Cvs Minute Clinic, Fort Walton Beach, FL 32547
Phone: 850-863-8219    Fax: 850-863-8249
Brenda Carol Dixon, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 221 Hospital Dr Ne, Fort Walton Beach, FL 32548
Phone: 850-833-9240    Fax: 850-833-9252

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.