Mr Jesus Luis Rodriguez Iii, MD is a medicare enrolled "Pediatrics" physician in Live Oak, Texas. His current practice location is
12602 Toepperwein Rd Ste 104, Live Oak, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 599-6251.
Mr Jesus Luis Rodriguez Iii is licensed to practice in Texas (license number L6604) 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 1558430884.
Physician's Profile
| Full Name | Mr Jesus Luis Rodriguez Iii |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 12602 Toepperwein Rd Ste 104, Live Oak, Texas |
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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: 1558430884
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 02/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820065667
- Enrollment ID: I20040913000391
Medical Identifiers
Medical identifiers for Mr Jesus Luis Rodriguez Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558430884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | L6604 (Texas) | 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. Mr Jesus Luis Rodriguez Iii allows following entities to bill medicare on his behalf.
| Entity Name | Synergy Healthcare Associates, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356584544
PECOS PAC ID: 9133271216
Enrollment ID: O20090721000415 |
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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. Mr Jesus Luis Rodriguez 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 |
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Mr Jesus Luis Rodriguez Iii, MD
12602 Toepperwein Rd Ste 104,
Live Oak, TX 78233-3200
Ph: (210) 599-6251 | Mr Jesus Luis Rodriguez Iii, MD
12602 Toepperwein Rd Ste 104,
Live Oak, TX 78233-3200
Ph: (210) 599-6251 |
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