Dr Gregorio Lerma Rodriguez, MD is a medicare enrolled "Internal Medicine" physician in Charleston, Missouri. His current practice location is
1403 E. Marshall Street, Charleston, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 683-2327.
Dr Gregorio Lerma Rodriguez is licensed to practice in Missouri (license number 33173) 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 1790883064.
Physician's Profile
Full Name | Dr Gregorio Lerma Rodriguez |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 1403 E. Marshall Street, Charleston, Missouri |
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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: 1790883064
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 12/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 6103961636
- Enrollment ID: I20100308000724
Medical Identifiers
Medical identifiers for Dr Gregorio Lerma Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790883064 | NPI | - | NPPES |
11432 | Other | MO | BCBS |
863024 | Other | MO | FIRST HEALTH |
200006500 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 33173 (Missouri) | Secondary |
207R00000X | Internal Medicine | 33173 (Missouri) | 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 Gregorio Lerma Rodriguez allows following entities to bill medicare on his behalf.
Entity Name | Missouri Delta Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
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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 Gregorio Lerma 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 Gregorio Lerma Rodriguez, MD 1403 E Marshall St, 1403 E Marshall Street, Charleston, MO 63834-1446 Ph: (573) 683-2327 | Dr Gregorio Lerma Rodriguez, MD 1403 E. Marshall Street, Charleston, MO 63834 Ph: (573) 683-2327 |
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