Ivan Regalado Rodriguez, - Medicare Nurse Practitioner in Fortson, GA

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Ivan Regalado Rodriguez, is a medicare enrolled "Nurse Practitioner - Family" in Fortson, Georgia. His current practice location is 4614 Wisteria Ln, Fortson, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 882-1728.

Ivan Regalado Rodriguez is licensed to practice in Georgia (license number RN291972) 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 1639871866.

Contact Information

Ivan Regalado Rodriguez,
4614 Wisteria Ln,
Fortson, GA 31808-6986
(770) 882-1728
Not Available

Map and Direction




Provider's Profile

Full NameIvan Regalado Rodriguez
GenderMale
SpecialityNurse Practitioner - Family
Location4614 Wisteria Ln, Fortson, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639871866
  • Provider Enumeration Date: 03/21/2023
  • Last Update Date: 07/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931561644
  • Enrollment ID: I20230811002701

Medical Identifiers

Medical identifiers for Ivan Regalado Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639871866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11025390 (Florida)Secondary
363LF0000XNurse Practitioner - Family RN291972 (Georgia)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. Ivan Regalado Rodriguez allows following entities to bill medicare on his behalf.
Entity NameAtlanta Pm&r Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588321970
PECOS PAC ID: 3971995382
Enrollment ID: O20220115000000

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. Ivan Regalado 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
Ivan Regalado Rodriguez,
4614 Wisteria Ln,
Fortson, GA 31808-6986

Ph: (770) 882-1728		Ivan Regalado Rodriguez,
4614 Wisteria Ln,
Fortson, GA 31808-6986

Ph: (770) 882-1728

Reviews and Comments


Nurse Practitioner Nurses in Fortson, GA

Anndrea Marie Lampkin, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4519 Ivy Patch Dr, Fortson, GA 31808
Phone: 706-681-2924    
Archie Person Iii, ACNPC-AG
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7933 Ivy Park Dr, Fortson, GA 31808
Phone: 706-587-0716    Fax: 706-587-0716
Kimberly H Peacock,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 397 Bluebird Trl, Fortson, GA 31808
Phone: 202-744-3445    

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.