Russell Gerald Rodriguez, MD in Antioch, CA - Medicare Emergency Medicine

Russell Gerald Rodriguez, MD is a medicare enrolled "Emergency Medicine" physician in Antioch, California. His current practice location is 3901 Lone Tree Way, Antioch, California. You can reach out to his office (for appointments etc.) via phone at (925) 779-7273.

Russell Gerald Rodriguez is licensed to practice in Hawaii (license number A84370) 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 1245259647.

Contact Information

	Russell Gerald Rodriguez, MD
	3901 Lone Tree Way, Antioch, CA 94509-6200
	(925) 779-7273
	Not Available

Map and Direction

Physician's Profile

Full Name	Russell Gerald Rodriguez
Gender	Male
Speciality	Emergency Medicine
Location	3901 Lone Tree Way, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245259647
Provider Enumeration Date: 07/18/2006
Last Update Date: 10/10/2019

Medicare PECOS Information:

PECOS PAC ID: 7012963754
Enrollment ID: I20050325000533

Medical Identifiers

Medical identifiers for Russell Gerald Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245259647	NPI	-	NPPES
00A843700	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A84370 (California)	Secondary
207P00000X	Emergency Medicine	A84370 (Hawaii)	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. Russell Gerald Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520

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. Russell Gerald 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
Russell Gerald Rodriguez, MD 2100 Powell St, Ste 920, Emeryville, CA 94608-1826 Ph: (510) 350-2600	Russell Gerald Rodriguez, MD 3901 Lone Tree Way, Antioch, CA 94509-6200 Ph: (925) 779-7273

Reviews and Comments

Emergency Medicine Doctors in Antioch, CA

Kathleen A Regacho, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-3522
Khanh D Nguyen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 510-350-2657
Mary Antionette Fitzsimons, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273
Raj V. Dasari, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Ivan S. Cavaliere, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Susan Woodmansee, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273

Russell Gerald Rodriguez, MD - Medicare Emergency Medicine in Antioch, CA