Ivonne M Rodriguez-santiago, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lady Lake, Florida. Her current practice location is
510 Highway 466 Ste 203p, Lady Lake, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 614-0017.
Ivonne M Rodriguez-santiago is licensed to practice in Florida (license number PY10770) 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 1396131314.
Healthcare Provider's Profile
Full Name | Ivonne M Rodriguez-santiago |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 510 Highway 466 Ste 203p, Lady Lake, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396131314
- Provider Enumeration Date: 04/07/2015
- Last Update Date: 04/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971936287
- Enrollment ID: I20191127000672
Medical Identifiers
Medical identifiers for Ivonne M Rodriguez-santiago such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396131314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 10875 (Massachusetts) | Secondary |
103TC0700X | Psychologist - Clinical | 11123 (Massachusetts) | Secondary |
103TC0700X | Psychologist - Clinical | PY10770 (Florida) | Primary |
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. Ivonne M Rodriguez-santiago 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 |
Ivonne M Rodriguez-santiago, PHD 510 Highway 466 Ste 203p, Lady Lake, FL 32159-6341 Ph: (352) 614-0017 | Ivonne M Rodriguez-santiago, PHD 510 Highway 466 Ste 203p, Lady Lake, FL 32159-6341 Ph: (352) 614-0017 |
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