Anissa Rodriguez, is a medicare enrolled "Nurse Practitioner - Family" physician in Coconut Creek, Florida. Her current practice location is
5300 W Hillsboro Blvd, Coconut Creek, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 725-4141.
Anissa Rodriguez is licensed to practice in Florida (license number APRN11004695) 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 1376186437.
Physician's Profile
| Full Name | Anissa Rodriguez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5300 W Hillsboro Blvd, Coconut Creek, Florida |
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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: 1376186437
- Provider Enumeration Date: 10/22/2019
- Last Update Date: 05/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476931841
- Enrollment ID: I20221201001150
Medical Identifiers
Medical identifiers for Anissa Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376186437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | APRN11004695 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11004695 (Florida) | 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. Anissa Rodriguez allows following entities to bill medicare on her behalf.
| Entity Name | South Florida Vascular Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568552321
PECOS PAC ID: 1850392531
Enrollment ID: O20070123000586 |
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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. Anissa 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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Anissa Rodriguez,
9054 Nw 14th Ct,
Pembroke Pines, FL 33024-4601
Ph: (954) 895-8649 | Anissa Rodriguez,
5300 W Hillsboro Blvd,
Coconut Creek, FL 33073-4395
Ph: (954) 725-4141 |
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