Dr Alisa A Roda, MD in Jackson, CA

Dr Alisa A Roda, MD is a medicare enrolled "Pediatrics" physician in Jackson, California. Her current practice location is 12140 New York Ranch Rd, Jackson Rancheria Health Complex, Jackson, California. You can reach out to her office (for appointments etc.) via phone at (209) 257-2400.

Dr Alisa A Roda is licensed to practice in California (license number G79164) 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 1477553261.

Contact Information

	Dr Alisa A Roda, MD
	12140 New York Ranch Rd, Jackson Rancheria Health Complex, Jackson, CA 95642-9407
	(209) 257-2400
	(209) 257-2403

Map and Direction

Physician's Profile

Full Name	Dr Alisa A Roda
Gender	Female
Speciality	Pediatrics
Location	12140 New York Ranch Rd, Jackson, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477553261
Provider Enumeration Date: 07/22/2005
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 5395964738
Enrollment ID: I20140916002576

Medical Identifiers

Medical identifiers for Dr Alisa A Roda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477553261	NPI	-	NPPES
00G791640	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G79164 (California)	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 Alisa A Roda allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Alisa A Roda 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
Dr Alisa A Roda, MD 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 Ph: (916) 478-5000	Dr Alisa A Roda, MD 12140 New York Ranch Rd, Jackson Rancheria Health Complex, Jackson, CA 95642-9407 Ph: (209) 257-2400

Reviews and Comments

Pediatrics Doctors in Jackson, CA

Dr. Amy A. Appleton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Mission Blvd, Suite 2600, Jackson, CA 95642 Phone: 209-257-1722
Jayasree Vasudevan Nair, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mission Blvd Ste 2600, Jackson, CA 95642 Phone: 209-257-1722 Fax: 209-257-1726
Dr. Vikram Ramkumar Kumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Mission Blvd, Suite 2600, Jackson, CA 95642 Phone: 209-257-1722 Fax: 209-257-1726
Rachel Alayne Williams, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mission Blvd, Jackson, CA 95642 Phone: 209-257-1722
Dr. David J Stone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mission Blvd, Suite 2600, Jackson, CA 95642 Phone: 209-257-1722 Fax: 209-257-1726

Dr Alisa A Roda, MD - Medicare Pediatrics in Jackson, CA