Mr Hendry Thompson Rodman Iii, PA-C is a medicare enrolled "Physician Assistant" physician in Springfield, Vermont. His current practice location is
25 Ridgewood Rd, Springfield, Vermont. You can reach out to his office (for appointments etc.) via phone at
(207) 497-5614.
Mr Hendry Thompson Rodman Iii is licensed to practice in Vermont (license number 055.0031704) 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 1932824711.
Physician's Profile
Full Name | Mr Hendry Thompson Rodman Iii |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 25 Ridgewood Rd, Springfield, Vermont |
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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: 1932824711
- Provider Enumeration Date: 10/05/2022
- Last Update Date: 10/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244600997
- Enrollment ID: I20230601001128
Medical Identifiers
Medical identifiers for Mr Hendry Thompson Rodman Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932824711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PA2433 (Maine) | Secondary |
363A00000X | Physician Assistant | PA2433 (Maine) | Secondary |
363A00000X | Physician Assistant | 055.0031704 (Vermont) | Primary |
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. Mr Hendry Thompson Rodman Iii 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 |
Mr Hendry Thompson Rodman Iii, PA-C 70 Snare Creek Ln, Jonesport, ME 04649-3139 Ph: () - | Mr Hendry Thompson Rodman Iii, PA-C 25 Ridgewood Rd, Springfield, VT 05156-3057 Ph: (207) 497-5614 |
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