Kathleen R Rodriguez, ACNP | |
2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 | |
(210) 916-4549 | |
Not Available |
Full Name | Kathleen R Rodriguez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 2200 Bergquist Dr Ste 1, Lackland A F B, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316256746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | A03453ANP (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Mission At Air Force Village | San antonio, TX | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Physiatry Group Llc | 1759353519 | 26 |
Entity Name | Legacy Physiatry Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20070907000584 |
Mailing Address | Practice Location Address |
---|---|
Kathleen R Rodriguez, ACNP 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 Ph: (210) 916-4549 | Kathleen R Rodriguez, ACNP 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 Ph: (210) 916-4549 |
Karen Haveman, MSN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Attn: Ob/gyn Clnic/ Sgobg, Lackland A F B, TX 78236 Phone: 210-292-6452 | |
Ms. Sara Ellen Kennedy, RNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn: Credentials (cms), Lackland A F B, TX 78236 Phone: 210-292-6115 Fax: 210-292-6158 | |
Ms. Corinne Ann Ricci, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Ste. #1, Lackland A F B, TX 78236 Phone: 210-292-0340 Fax: 210-292-6158 | |
Ms. Felicia Lauten, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236 Phone: 210-292-0340 | |
Patti Dale, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-6152 | |
Mrs. Cynthia Rayson Lightner, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Attn: Credentials (sghc), Lackland A F B, TX 78236 Phone: 210-292-6707 Fax: 210-292-7964 |