Dr Etienne Jose Rodriguez, MD in Dunwoody, GA

Dr Etienne Jose Rodriguez, MD is a medicare enrolled "Family Medicine" physician in Dunwoody, Georgia. He went to Ponce School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Doctor On Demand Professionals P C and his current practice location is 5471 Chamblee Dunwoody Rd, Dunwoody, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 481-0889.

Dr Etienne Jose Rodriguez is licensed to practice in Georgia (license number 067979) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679709539.

Contact Information

	Dr Etienne Jose Rodriguez, MD
	5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114
	(770) 481-0889
	(770) 481-0986

Map and Direction

Physician's Profile

Full Name	Dr Etienne Jose Rodriguez
Gender	Male
Speciality	Family Practice
Experience	17 Years
Location	5471 Chamblee Dunwoody Rd, Dunwoody, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Etienne Jose Rodriguez attended and graduated from Ponce School Of Medicine in 2007

NPI Data:

NPI Number: 1679709539
Provider Enumeration Date: 06/05/2009
Last Update Date: 09/13/2019

Medicare PECOS Information:

PECOS PAC ID: 1557527876
Enrollment ID: I20120731000471

Medical Identifiers

Medical identifiers for Dr Etienne Jose Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679709539	NPI	-	NPPES
003125394B	Medicaid	GA
003125394A	Medicaid	GA
003125394C	Medicaid	GA
GA1345	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	81672 (South Carolina)	Secondary
207Q00000X	Family Medicine	2018-02700 (North Carolina)	Secondary
207Q00000X	Family Medicine	C159178 (California)	Secondary
207Q00000X	Family Medicine	0101265867 (Virginia)	Secondary
207Q00000X	Family Medicine	067979 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Doctor On Demand Professionals P C	9436464567	119

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 Etienne Jose Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Dunwoody Village Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457494502 PECOS PAC ID: 8022061639 Enrollment ID: O20050223000644

Entity Name	Doctor On Demand Professionals P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20200417002815

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 Etienne Jose 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
Dr Etienne Jose Rodriguez, MD 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 Ph: (770) 481-0889	Dr Etienne Jose Rodriguez, MD 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 Ph: (770) 481-0889

Reviews and Comments

Family Medicine Doctors in Dunwoody, GA

Torrance Christopher Laury, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 N Shallowford Rd, Suite B, Dunwoody, GA 30338 Phone: 404-778-6920 Fax: 404-778-6901
Dr. Teresa Lianne Beck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 N Shallowford Rd, Dunwoody, GA 30338 Phone: 404-778-6920 Fax: 404-778-6901
Dr. Oguchi Andrew Osondu Nwosu, M.D., FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 N Shallowford Rd, Dunwoody, GA 30338 Phone: 404-778-6920 Fax: 404-778-6901
Atiya Kashif Rana, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1861 Peeler Rd, Dunwoody, GA 30338 Phone: 770-730-5800 Fax: 770-730-5803
Dr. James A, Yost, MD, MS, MBA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Dunwoody Park, Suite 150, Dunwoody, GA 30338 Phone: 404-778-6920
Amir Antonios, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4500 N Shallowford Rd, Dunwoody, GA 30338 Phone: 404-778-6920 Fax: 404-778-4561
Mr. Moinuddin Kazi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4480 N Shallowford Rd, Ste 200, Dunwoody, GA 30338 Phone: 770-455-8285 Fax: 770-350-8973

Dr Etienne Jose Rodriguez, MD - Medicare Family Practice in Dunwoody, GA