Rodrigo Landeros, PA-C - Medicare Physician Assistant in Edmonds, WA

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Rodrigo Landeros, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Edmonds, Washington. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Providence Health And Services- Washington and his current practice location is 7315 212th St Sw, Suite 201, Edmonds, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 778-8116.

Rodrigo Landeros is licensed to practice in Washington (license number PA60655595) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902253172.

Contact Information

Rodrigo Landeros, PA-C
7315 212th St Sw, Suite 201,
Edmonds, WA 98026-7610
(425) 778-8116
Not Available

Map and Direction




Provider's Profile

Full NameRodrigo Landeros
GenderMale
SpecialityPhysician Assistant
Experience11 Years
Location7315 212th St Sw, Edmonds, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rodrigo Landeros graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1902253172
  • Provider Enumeration Date: 05/18/2016
  • Last Update Date: 08/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698069367
  • Enrollment ID: I20160803003081

Medical Identifiers

Medical identifiers for Rodrigo Landeros such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902253172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA60655595 (Washington)Secondary
363AS0400XPhysician Assistant - Surgical PA60655595 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish Edmonds HospitalEdmonds, WAHospital
Providence Regional Medical Center EverettEverett, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services- Washington8325100480527

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. Rodrigo Landeros allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454
Entity NameProliance Surgeons Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023170313
PECOS PAC ID: 8527972900
Enrollment ID: O20031119000128
Entity NameVantage Radiology & Diagnostic Services, a Professional Services Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245230598
PECOS PAC ID: 8224937917
Enrollment ID: O20031231000620
Entity NameProvidence Health & Services- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124270715
PECOS PAC ID: 8325100480
Enrollment ID: O20081224000111

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. Rodrigo Landeros 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
Rodrigo Landeros, PA-C
17 Old Post Rd,
Montgomery, IL 60538-2609

Ph: Not Available		Rodrigo Landeros, PA-C
7315 212th St Sw, Suite 201,
Edmonds, WA 98026-7610

Ph: (425) 778-8116

Reviews and Comments


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Barbara R Fayette, PA C
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Mandy Merrick, PA-C
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Practice Location: 7315 212th St Sw, Edmonds, WA 98026
Phone: 425-775-9474    
Mr. Glenn O. Knight, PAC
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Medicare: Not Enrolled in Medicare
Practice Location: 7315 212th St Sw, Suite 201, Edmonds, WA 98026
Phone: 425-778-8116    Fax: 425-775-9526
Mrs. Erin Adass Whitehall, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7315 212th St Sw, Suite 201, Edmonds, WA 98026
Phone: 425-673-3900    Fax: 425-673-3910

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.