Jai-lisa Marie Rodriguez, OTR/L is a medicare enrolled "Occupational Therapist" provider in St. Petersburg, Florida. Her current practice location is
4655 66th Street North, St. Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 546-4700.
Jai-lisa Marie Rodriguez is licensed to practice in Florida (license number OT24928) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407476104.
Healthcare Provider's Profile
| Full Name | Jai-lisa Marie Rodriguez |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 4655 66th Street North, St. Petersburg, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1407476104
- Provider Enumeration Date: 04/22/2020
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597189217
- Enrollment ID: I20250113000385
Medical Identifiers
Medical identifiers for Jai-lisa Marie Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407476104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XN1300X | Occupational Therapist - Neurorehabilitation | OT24928 (Florida) | Secondary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT24928 (Florida) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | OT24928 (Florida) | Secondary |
| 225X00000X | Occupational Therapist | OT24928 (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. Jai-lisa Marie Rodriguez allows following entities to bill medicare on her behalf.
| Provider Name | Florida Rehability At Home, Llc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1932643780
PECOS PAC ID: 4183907280
Enrollment ID: O20170216000243 |
|---|
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. Jai-lisa Marie 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 |
|---|
Jai-lisa Marie Rodriguez, OTR/L
4655 66th Street North,
St. Petersburg, FL 33709
Ph: (727) 546-4700 | Jai-lisa Marie Rodriguez, OTR/L
4655 66th Street North,
St. Petersburg, FL 33709
Ph: (727) 546-4700 |
Reviews and Comments