Dr Jose Carlos Rodriguez, DDS is a medicare enrolled "Dentist - General Practice" provider in Pine Ridge, South Dakota. His current practice location is
East Highway 18, Pine Ridge, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 867-3078.
Dr Jose Carlos Rodriguez is licensed to practice in Puerto Rico (license number 001871) 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 1467425926.
Healthcare Provider's Profile
| Full Name | Dr Jose Carlos Rodriguez |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | East Highway 18, Pine Ridge, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467425926
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 12/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 7719132570
- Enrollment ID: I20130227000375
Medical Identifiers
Medical identifiers for Dr Jose Carlos Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467425926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 001871 (Puerto Rico) | 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. Dr Jose Carlos Rodriguez allows following entities to bill medicare on his behalf.
| Entity Name | Pine Ridge Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966 |
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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. Dr Jose Carlos 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 |
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Dr Jose Carlos Rodriguez, DDS
6606 150th Ln,
Gordon, NE 69343-5407
Ph: (308) 282-0779 | Dr Jose Carlos Rodriguez, DDS
East Highway 18,
Pine Ridge, SD 57770-1201
Ph: (605) 867-3078 |
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