Ismael Macalla-rodriguez, APRN - Medicare Nurse Practitioner in Fort Myers, FL

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Ismael Macalla-rodriguez, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Fort Myers, Florida. His current practice location is 5216 Clayton Ct, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 343-8260.

Ismael Macalla-rodriguez is licensed to practice in Florida (license number APRN11014693) 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 1063186930.

Contact Information

Ismael Macalla-rodriguez, APRN
5216 Clayton Ct,
Fort Myers, FL 33907-2116
(239) 343-8260
(239) 343-4258

Map and Direction




Provider's Profile

Full NameIsmael Macalla-rodriguez
GenderMale
SpecialityNurse Practitioner - Gerontology
Location5216 Clayton Ct, Fort Myers, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063186930
  • Provider Enumeration Date: 08/04/2021
  • Last Update Date: 09/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294195772
  • Enrollment ID: I20230714003584

Medical Identifiers

Medical identifiers for Ismael Macalla-rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063186930NPI-NPPES
118721400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN11014693 (Florida)Secondary
363LG0600XNurse Practitioner - Gerontology APRN11014693 (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. Ismael Macalla-rodriguez allows following entities to bill medicare on his behalf.
Entity NameLee Memorial Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992873319
PECOS PAC ID: 8729996608
Enrollment ID: O20031118000604

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. Ismael Macalla-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 AddressPractice Location Address
Ismael Macalla-rodriguez, APRN
Po Box 2147,
Fort Myers, FL 33902-2147

Ph: (239) 343-8260		Ismael Macalla-rodriguez, APRN
5216 Clayton Ct,
Fort Myers, FL 33907-2116

Ph: (239) 343-8260

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.