Christina Roddy, NP is a medicare enrolled "Nurse Practitioner" in Norris City, Illinois. Her current practice location is
403 East 5th St., Norris City, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 313-2661.
Christina Roddy is licensed to practice in Illinois (license number 209.024304) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922750785.
Provider's Profile
Full Name | Christina Roddy |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 403 East 5th St., Norris City, Illinois |
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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: 1922750785
- Provider Enumeration Date: 01/24/2022
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153716188
- Enrollment ID: I20220309002797
Medical Identifiers
Medical identifiers for Christina Roddy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922750785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209.024304 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209024304 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209.024304 (Illinois) | 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. Christina Roddy allows following entities to bill medicare on her behalf.
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
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Entity Name | Fairfield Memorial Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368 |
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Entity Name | Fairfield Memorial Hospital Association |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1255422416 PECOS PAC ID: 5698671741 Enrollment ID: O20100630000071 |
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Entity Name | Deaconess Illinois Crossroads Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528785284 PECOS PAC ID: 0143692178 Enrollment ID: O20230221000097 |
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Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
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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. Christina Roddy 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 |
Christina Roddy, NP Po Box 721, Norris City, IL 62869-0721 Ph: (618) 313-2661 | Christina Roddy, NP 403 East 5th St., Norris City, IL 62869 Ph: (618) 313-2661 |
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