Samantha P Rodriguez, OD in Simpsonville, SC - Medicare Optometrist Provider

Samantha P Rodriguez, OD is a medicare enrolled "Optometrist" provider in Simpsonville, South Carolina. Her current practice location is 1 Colony Centre Way, Simpsonville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 458-3900.

Samantha P Rodriguez is licensed to practice in South Carolina (license number 1961) 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 1659630176.

Contact Information

	Samantha P Rodriguez, OD
	1 Colony Centre Way, Simpsonville, SC 29681-3286
	(864) 458-3900
	(864) 967-9118

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha P Rodriguez
Gender	Female
Speciality	Optometrist
Location	1 Colony Centre Way, Simpsonville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659630176
Provider Enumeration Date: 05/04/2012
Last Update Date: 09/08/2023

Medicare PECOS Information:

PECOS PAC ID: 9335375153
Enrollment ID: I20230118001538

Medical Identifiers

Medical identifiers for Samantha P Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659630176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1961 (South Carolina)	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. Samantha P Rodriguez allows following entities to bill medicare on her behalf.

Provider Name	Jervey Eye Group Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1447220710 PECOS PAC ID: 2860397148 Enrollment ID: O20040311000033

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. Samantha P 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
Samantha P Rodriguez, OD 601 Halton Rd, Greenville, SC 29607-3403 Ph: (864) 458-7956	Samantha P Rodriguez, OD 1 Colony Centre Way, Simpsonville, SC 29681-3286 Ph: (864) 458-3900

Reviews and Comments

Optometrist in Simpsonville, SC

Triangle Visions Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 419 Se Main St Ste 300, Simpsonville, SC 29681 Phone: 864-417-2345 Fax: 864-399-4519
Dr. Craig Thomas Rumple, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 655 Fairview Rd, Suite L, Simpsonville, SC 29680 Phone: 864-963-2828 Fax: 864-967-9099
Sara H Bopp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 273 Harrison Bridge Rd, Simpsonville, SC 29680 Phone: 864-654-6706 Fax: 864-343-2074
Southern Eye Associates, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Allawood Ct, Simpsonville, SC 29681 Phone: 864-269-3333 Fax: 864-295-1288
Branscum Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3950 Grandview Dr, Simpsonville, SC 29680 Phone: 864-963-4218 Fax: 864-963-7319
William David Coleman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Colony Centre Way, Simpsonville, SC 29681 Phone: 864-963-2171 Fax: 864-250-6475
Gordon Stanley Johnson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2827 Woodruff Rd, Simpsonville, SC 29681 Phone: 864-520-2480

Samantha P Rodriguez, OD - Medicare Optometrist in Simpsonville, SC