Dr Jorge Eduardo Rodriguez, MD in North Hollywood, CA

Dr Jorge Eduardo Rodriguez, MD is a medicare enrolled "Pediatrics" physician in North Hollywood, California. His current practice location is 11631 Victory Blvd, #101, North Hollywood, California. You can reach out to his office (for appointments etc.) via phone at (818) 764-8838.

Dr Jorge Eduardo Rodriguez is licensed to practice in California (license number A54207) 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 1588670533.

Contact Information

	Dr Jorge Eduardo Rodriguez, MD
	11631 Victory Blvd, #101, North Hollywood, CA 91606-3572
	(818) 764-8838
	(818) 342-2238

Map and Direction

Physician's Profile

Full Name	Dr Jorge Eduardo Rodriguez
Gender	Male
Speciality	Pediatrics
Location	11631 Victory Blvd, North Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588670533
Provider Enumeration Date: 07/31/2006
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 5698098077
Enrollment ID: I20141217000479

Medical Identifiers

Medical identifiers for Dr Jorge Eduardo Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588670533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A54207 (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 Jorge Eduardo Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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 Jorge Eduardo 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 Jorge Eduardo Rodriguez, MD 393 E Walnut St, Phr Group Provider Enrollment Unit 3rd Fl, Pasadena, CA 91188-0001 Ph: (877) 608-0044	Dr Jorge Eduardo Rodriguez, MD 11631 Victory Blvd, #101, North Hollywood, CA 91606-3572 Ph: (818) 764-8838

Reviews and Comments

Pediatrics Doctors in North Hollywood, CA

Dr. Irina Godes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12157 Victory Blvd, North Hollywood, CA 91606 Phone: 818-755-8000 Fax: 818-755-8006
Rosa M. Del Valle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7542 Laurel Canyon Blvd, North Hollywood, CA 91605 Phone: 818-765-0503 Fax: 818-765-3842
Natalie Corrilo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, North Hollywood, CA 91605 Phone: 818-763-8836
Dr. Batul T Suterwala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6045 Whitsett Ave Apt 20, North Hollywood, CA 91606 Phone: 630-639-9916
Joel Warsh, Pediatrics Medicare: Medicare Enrolled Practice Location: 11650 Riverside Dr Ste Ph2a, North Hollywood, CA 91602 Phone: 818-747-2331 Fax: 504-513-4093
Dr. Erwin Ian Feldman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, North Hollywood, CA 91605 Phone: 818-301-6378 Fax: 818-255-2257

Dr Jorge Eduardo Rodriguez, MD - Medicare Pediatrics in North Hollywood, CA