| Mr Rex Lorenzo Rodriguez, CAA | |
|
707 Sw Washington St Ste 700, Portland, OR 97205-3523 | |
| (503) 299-9906 | |
| (500) 322-5900 |
| Full Name | Mr Rex Lorenzo Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 8 Years |
| Location | 707 Sw Washington St Ste 700, Portland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134611221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA70072504 (Washington) | Primary |
| 367H00000X | Anesthesiologist Assistant | 24570613 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hermann - Texas Medical Center | Houston, TX | Hospital |
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| U S Anesthesia Partners Of Texas, Pa | 7315850351 | 2758 |
| Entity Name | U S Anesthesia Partners Of Texas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rex Lorenzo Rodriguez, CAA Po Box 35147, #1801, Seattle, WA 98124-5147 Ph: () - | Mr Rex Lorenzo Rodriguez, CAA 707 Sw Washington St Ste 700, Portland, OR 97205-3523 Ph: (503) 299-9906 |
Nicole Boerema, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Erin Chormanski, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Charles Comstock Chase, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Deborah E Agustin, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Austin Levi, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Stephanie Guo, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 |