Roberto Rodriguez, MA is a medicare enrolled "Marriage & Family Therapist" provider in Bastrop, Texas. His current practice location is
1604 Industry Dr Ste 105, Bastrop, Texas. You can reach out to his office (for appointments etc.) via phone at
(737) 251-2707.
Roberto Rodriguez is licensed to practice in Texas (license number 204734) 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 1588020812.
Healthcare Provider's Profile
Full Name | Roberto Rodriguez |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 1604 Industry Dr Ste 105, Bastrop, Texas |
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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: 1588020812
- Provider Enumeration Date: 12/31/2015
- Last Update Date: 12/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 3173975455
- Enrollment ID: I20240123002481
Medical Identifiers
Medical identifiers for Roberto Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588020812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 302348 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | 3074 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | 204734 (Texas) | 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. Roberto Rodriguez allows following entities to bill medicare on his behalf.
Entity Name | Restorative Mental Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992429740 PECOS PAC ID: 6901258284 Enrollment ID: O20240123001600 |
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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. Roberto 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 |
Roberto Rodriguez, MA 173 Cassel Way, Bastrop, TX 78602-5727 Ph: (651) 402-9564 | Roberto Rodriguez, MA 1604 Industry Dr Ste 105, Bastrop, TX 78602-4622 Ph: (737) 251-2707 |
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