Luis David Rodriguez, MA, LMHC in Providence, RI

Luis David Rodriguez, MA, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Providence, Rhode Island. His current practice location is 355 Prairie Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 276-4193.

Luis David Rodriguez is licensed to practice in Rhode Island (license number MHC01325) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023595055.

Contact Information

	Luis David Rodriguez, MA, LMHC
	355 Prairie Ave, Providence, RI 02905-1928
	(401) 276-4193
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Luis David Rodriguez
Gender	Male
Speciality	Counselor - Mental Health
Location	355 Prairie Ave, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023595055
Provider Enumeration Date: 07/23/2018
Last Update Date: 02/08/2022

Medicare PECOS Information:

PECOS PAC ID: 1254776305
Enrollment ID: I20240228001488

Medical Identifiers

Medical identifiers for Luis David Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023595055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	MHC01325 (Rhode Island)	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. Luis David Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	The Providence Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104847946 PECOS PAC ID: 9739080292 Enrollment ID: O20040116000840

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. Luis David 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
Luis David Rodriguez, MA, LMHC 355 Prairie Ave, Providence, RI 02905-1928 Ph: (401) 276-4193	Luis David Rodriguez, MA, LMHC 355 Prairie Ave, Providence, RI 02905-1928 Ph: (401) 276-4193

Reviews and Comments

Counselor in Providence, RI

Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110

Luis David Rodriguez, MA, LMHC - Medicare Counselor in Providence, RI