Keisha-mae Nicole Rodriguez, NP in Bronx, NY - Medicare Nurse Practitioner

Keisha-mae Nicole Rodriguez, NP is a medicare enrolled "Nurse Practitioner" in Bronx, New York. Her current practice location is 111 E 210th St, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (929) 227-8131.

Keisha-mae Nicole Rodriguez is licensed to practice in New York (license number 351553) 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 1841990363.

Contact Information

	Keisha-mae Nicole Rodriguez, NP
	111 E 210th St, Bronx, NY 10467-2401
	(929) 227-8131
	Not Available

Map and Direction

Provider's Profile

Full Name	Keisha-mae Nicole Rodriguez
Gender	Female
Speciality	Nurse Practitioner
Location	111 E 210th St, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841990363
Provider Enumeration Date: 03/03/2023
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1557718590
Enrollment ID: I20231113001516

Medical Identifiers

Medical identifiers for Keisha-mae Nicole Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841990363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	351553 (New York)	Primary
163WE0003X	Registered Nurse - Emergency	734950 (New York)	Secondary

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. Keisha-mae Nicole Rodriguez allows following entities to bill medicare on her behalf.

Entity Name	Kings Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083045090 PECOS PAC ID: 0547579427 Enrollment ID: O20151015000175

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. Keisha-mae Nicole 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
Keisha-mae Nicole Rodriguez, NP 21 Davenport Ave Apt 3a, New Rochelle, NY 10805-3427 Ph: (929) 227-8131	Keisha-mae Nicole Rodriguez, NP 111 E 210th St, Bronx, NY 10467-2401 Ph: (929) 227-8131

Reviews and Comments

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Silvia R Mehmel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 Woodhull Ave, Bronx, NY 10469 Phone: 718-618-0401 Fax: 718-294-6276
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Ms. Charleen Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3444 Kossuth Ave, Mmg Family Care Center, Bronx, NY 10467 Phone: 718-920-2273
Mrs. Keisha A Ballentine-cargill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 841 Burke Ave, Bronx, NY 10467 Phone: 718-654-1726

Keisha-mae Nicole Rodriguez, NP - Medicare Nurse Practitioner in Bronx, NY