Dr Jose Maria Rodriguez-maldonado, MD is a medicare enrolled "Internal Medicine" physician in Ridgeland, South Carolina. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Clarksville Emergency Group, Pc and his current practice location is
177 Knightsbridge Road, Ridgeland, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 987-7400.
Dr Jose Maria Rodriguez-maldonado is licensed to practice in Indiana (license number 01086626A) 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 1255360673.
Physician's Profile
| Full Name | Dr Jose Maria Rodriguez-maldonado |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 30 Years |
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| Location | 177 Knightsbridge Road, Ridgeland, South Carolina |
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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 Jose Maria Rodriguez-maldonado graduated from medical school in 1994
NPI Data:
- NPI Number: 1255360673
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 11/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749262004
- Enrollment ID: I20211117002450
Medical Identifiers
Medical identifiers for Dr Jose Maria Rodriguez-maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255360673 | NPI | - | NPPES |
| 264886 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 48608 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 01086626A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 26488 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 48608 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 01086626A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clarksville Emergency Group, Pc | 6507277423 | 129 |
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 Jose Maria Rodriguez-maldonado allows following entities to bill medicare on his behalf.
| Entity Name | Clarksville Emergency Group, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023487154
PECOS PAC ID: 6507277423
Enrollment ID: O20201125002335 |
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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 Jose Maria Rodriguez-maldonado 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 Jose Maria Rodriguez-maldonado, MD
200 Corporate Blvd Ste 105,
Lafayette, LA 70508-3870
Ph: (800) 893-9698 | Dr Jose Maria Rodriguez-maldonado, MD
177 Knightsbridge Road,
Ridgeland, SC 29936-2605
Ph: (843) 987-7400 |
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