Gloria A Rodriguez, AGNP in Saint Louis, MO - Medicare Nurse Practitioner

Gloria A Rodriguez, AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Saint Louis, Missouri. Her current practice location is 11155 Dunn Rd Ste 109n, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 953-8799.

Gloria A Rodriguez is licensed to practice in Missouri (license number 2019020198) 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 1114565835.

Contact Information

	Gloria A Rodriguez, AGNP
	11155 Dunn Rd Ste 109n, Saint Louis, MO 63136-6148
	(314) 953-8799
	(314) 953-8798

Map and Direction

Provider's Profile

Full Name	Gloria A Rodriguez
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	11155 Dunn Rd Ste 109n, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114565835
Provider Enumeration Date: 12/12/2019
Last Update Date: 03/15/2021

Medicare PECOS Information:

PECOS PAC ID: 5890123541
Enrollment ID: I20200312001004

Medical Identifiers

Medical identifiers for Gloria A Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114565835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	2019020198 (Missouri)	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. Gloria A Rodriguez allows following entities to bill medicare on her behalf.

Entity Name	Cogent Healthcare Of Missouri Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780961599 PECOS PAC ID: 5597925099 Enrollment ID: O20120320000863

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235

Entity Name	Sound Physicians Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20170519000666

Entity Name	Hospitalist Medicine Physicians Of Missouri - Bridgeton, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275012452 PECOS PAC ID: 2567713571 Enrollment ID: O20181001001537

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. Gloria A 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
Gloria A Rodriguez, AGNP 11155 Dunn Rd Ste 109n, Saint Louis, MO 63136-6148 Ph: (314) 953-8799	Gloria A Rodriguez, AGNP 11155 Dunn Rd Ste 109n, Saint Louis, MO 63136-6148 Ph: (314) 953-8799

Reviews and Comments

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Gloria A Rodriguez, AGNP - Medicare Nurse Practitioner in Saint Louis, MO