Dr Johnny R Rodriguez, DO is a medicare enrolled "Surgery" physician in Poteau, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Choctaw Nation Of Oklahoma and his current practice location is
105 Wall St, Poteau, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 635-3100.
Dr Johnny R Rodriguez is licensed to practice in Oklahoma (license number 3524) 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 1457390056.
Physician's Profile
| Full Name | Dr Johnny R Rodriguez |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 35 Years |
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| Location | 105 Wall St, Poteau, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Johnny R Rodriguez attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1989
NPI Data:
- NPI Number: 1457390056
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244290864
- Enrollment ID: I20080130000677
Medical Identifiers
Medical identifiers for Dr Johnny R Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457390056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 3524 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Choctaw Nation Of Oklahoma | 1759294838 | 217 |
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 Johnny R Rodriguez allows following entities to bill medicare on his behalf.
| Entity Name | Choctaw Nation Of Oklahoma |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659347623
PECOS PAC ID: 1759294838
Enrollment ID: O20031106000326 |
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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 Johnny R 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 Johnny R Rodriguez, DO
Po Box 1177,
Poteau, OK 74953-1177
Ph: (918) 635-3100 | Dr Johnny R Rodriguez, DO
105 Wall St,
Poteau, OK 74953-4433
Ph: (918) 635-3100 |
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