Mr Sergio Rodriguez-chaple, is a medicare enrolled "Nurse Practitioner" physician in Miami, Florida. His current practice location is
13925 Sw 179th St, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 237-9124.
Mr Sergio Rodriguez-chaple is licensed to practice in Florida (license number ARNP9292612) 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 1043791148.
Physician's Profile
| Full Name | Mr Sergio Rodriguez-chaple |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 13925 Sw 179th St, Miami, Florida |
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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: 1043791148
- Provider Enumeration Date: 08/27/2018
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759620628
- Enrollment ID: I20190312000787
Medical Identifiers
Medical identifiers for Mr Sergio Rodriguez-chaple such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043791148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 9292612 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | ARNP9292612 (Florida) | 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 Sergio Rodriguez-chaple allows following entities to bill medicare on his behalf.
| Entity Name | Complete Care Management Services Aco Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780197152
PECOS PAC ID: 7012349285
Enrollment ID: O20191111000864 |
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| Entity Name | Polyclinic Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831785484
PECOS PAC ID: 8729492574
Enrollment ID: O20210205002454 |
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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 Sergio Rodriguez-chaple 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 Sergio Rodriguez-chaple,
10550 Nw 77th Ct Ste 308,
Hialeah, FL 33016-2072
Ph: (305) 863-2233 | Mr Sergio Rodriguez-chaple,
13925 Sw 179th St,
Miami, FL 33177-7743
Ph: (786) 237-9124 |
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