Dr Rodney T Vizcarra, MD is a medicare enrolled "Surgery" physician in Pierre, South Dakota. His current practice location is
100 Mac Lane, Avera Medical Group Pierre, Pierre, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 945-5202.
Dr Rodney T Vizcarra is licensed to practice in South Dakota (license number SD3621) 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 1538122015.
Physician's Profile
| Full Name | Dr Rodney T Vizcarra |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 100 Mac Lane, Pierre, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538122015
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 04/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 1850384546
- Enrollment ID: I20151012001661
Medical Identifiers
Medical identifiers for Dr Rodney T Vizcarra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538122015 | NPI | - | NPPES |
| 7301310 | Medicaid | SD | |
| 7301312 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | SD3621 (South Dakota) | Primary |
| 208600000X | Surgery | 3621 (South Dakota) | Secondary |
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 Rodney T Vizcarra allows following entities to bill medicare on his behalf.
| Entity Name | Eagle Butte Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558395848
PECOS PAC ID: 7517852759
Enrollment ID: O20040217001024 |
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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 Rodney T Vizcarra 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 Rodney T Vizcarra, MD
100 Mac Lane, Avera Medical Group Pierre,
Pierre, SD 57501
Ph: (605) 945-5202 | Dr Rodney T Vizcarra, MD
100 Mac Lane, Avera Medical Group Pierre,
Pierre, SD 57501
Ph: (605) 945-5202 |
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