Rodrick Ducroix Coaxum, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Elmira, New York. His current practice location is
600 Roe Ave, Elmira, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 737-4100.
Rodrick Ducroix Coaxum is licensed to practice in * (Not Available) (license number ) 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 1902436157.
Physician's Profile
Full Name | Rodrick Ducroix Coaxum |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 600 Roe Ave, Elmira, New York |
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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: 1902436157
- Provider Enumeration Date: 01/16/2020
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113357831
- Enrollment ID: I20200421001894
Medical Identifiers
Medical identifiers for Rodrick Ducroix Coaxum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902436157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | P104038 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Rodrick Ducroix Coaxum allows following entities to bill medicare on his behalf.
Entity Name | Peyman Younesi Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891053328 PECOS PAC ID: 4981860202 Enrollment ID: O20120731000499 |
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Entity Name | Internal Medicine Solutions Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467821694 PECOS PAC ID: 4880904382 Enrollment ID: O20151113000103 |
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Entity Name | New York Cares Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730851858 PECOS PAC ID: 1658769724 Enrollment ID: O20211021001900 |
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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. Rodrick Ducroix Coaxum 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 |
Rodrick Ducroix Coaxum, MD 600 Roe Ave, Elmira, NY 14905-1629 Ph: (607) 737-4100 | Rodrick Ducroix Coaxum, MD 600 Roe Ave, Elmira, NY 14905-1629 Ph: (607) 737-4100 |
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