Mr Johnathan A Rodriquez, ARNP in Independence, KS

Mr Johnathan A Rodriquez, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Independence, Kansas. His current practice location is 1415 N Penn Ave, Independence, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 331-2400.

Mr Johnathan A Rodriquez is licensed to practice in Kansas (license number 75249) 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 1811205214.

Contact Information

	Mr Johnathan A Rodriquez, ARNP
	1415 N Penn Ave, Independence, KS 67301-2222
	(620) 331-2400
	(620) 331-0747

Map and Direction

Provider's Profile

Full Name	Mr Johnathan A Rodriquez
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	1415 N Penn Ave, Independence, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811205214
Provider Enumeration Date: 09/20/2010
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1951579218
Enrollment ID: I20110713000154

Medical Identifiers

Medical identifiers for Mr Johnathan A Rodriquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811205214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	75249 (Kansas)	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 Johnathan A Rodriquez allows following entities to bill medicare on his behalf.

Entity Name	Susan B Allen Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164554820 PECOS PAC ID: 7719898980 Enrollment ID: O20040324001452

Entity Name	Wilson County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992842942 PECOS PAC ID: 0042273971 Enrollment ID: O20041119000995

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 Johnathan A Rodriquez 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
Mr Johnathan A Rodriquez, ARNP Po Box 360, Neodesha, KS 66757-0360 Ph: (620) 325-2611	Mr Johnathan A Rodriquez, ARNP 1415 N Penn Ave, Independence, KS 67301-2222 Ph: (620) 331-2400

Reviews and Comments

Nurse Practitioner Nurses in Independence, KS

Jodi Oder, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281
Ms. Amanda Leigh Denton, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-331-1940
Mary Ann Garner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 W Myrtle St, Independence, KS 67301 Phone: 620-331-8190
Mrs. Mardie Anne Long, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1415 N Penn Ave, Independence, KS 67301 Phone: 620-331-2400 Fax: 620-331-0747
Erica Lea Whitson, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281
Mrs. Linda L Forbes, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Arco Pl, Suite 333, Independence, KS 67301 Phone: 620-331-5440 Fax: 620-331-3791
Dawn Mccaffery, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Peter Pan Rd, Independence, KS 67301 Phone: 620-577-4310 Fax: 620-577-4312

Mr Johnathan A Rodriquez, ARNP - Medicare Nurse Practitioner in Independence, KS