Mr Jose Abraham Rodriguez, MD in Mound Bayou, MS

Mr Jose Abraham Rodriguez, MD is a medicare enrolled "Pediatrics" physician in Mound Bayou, Mississippi. His current practice location is 702 Martin Luther King St, Mound Bayou, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 741-8800.

Mr Jose Abraham Rodriguez is licensed to practice in Mississippi (license number 19905) 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 1780779579.

Contact Information

	Mr Jose Abraham Rodriguez, MD
	702 Martin Luther King St, Mound Bayou, MS 38762-9314
	(662) 741-8800
	(662) 741-2700

Map and Direction

Physician's Profile

Full Name	Mr Jose Abraham Rodriguez
Gender	Male
Speciality	Pediatrics
Location	702 Martin Luther King St, Mound Bayou, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780779579
Provider Enumeration Date: 10/04/2006
Last Update Date: 03/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6709251986
Enrollment ID: I20230403000121

Medical Identifiers

Medical identifiers for Mr Jose Abraham Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780779579	NPI	-	NPPES
09151072	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	19905 (Mississippi)	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 Jose Abraham Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Delta Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659378610 PECOS PAC ID: 6608783295 Enrollment ID: O20040216000676

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 Jose Abraham 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
Mr Jose Abraham Rodriguez, MD 702 Martin Luther King St, Mound Bayou, MS 38762-9314 Ph: (662) 741-8800	Mr Jose Abraham Rodriguez, MD 702 Martin Luther King St, Mound Bayou, MS 38762-9314 Ph: (662) 741-8800

Reviews and Comments

Pediatrics Doctors in Mound Bayou, MS

Braveen Ragunanthan, MD MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 702 Martin Luther King St, Mound Bayou, MS 38762 Phone: 662-741-8800
Simone Shardae Williams Moore, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 702 Martin Luther King St, Mound Bayou, MS 38762 Phone: 662-741-8800 Fax: 662-741-2700

Mr Jose Abraham Rodriguez, MD - Medicare Pediatrics in Mound Bayou, MS