Le'keisha Rodriguez, in Decatur, GA - Medicare Nurse Practitioner

Le'keisha Rodriguez, is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Georgia. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Qcpi-villagemd Pc and her current practice location is 2738 N Decatur Rd, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 508-8058.

Le'keisha Rodriguez is licensed to practice in Georgia (license number RN280479) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710233309.

Contact Information

	Le'keisha Rodriguez,
	2738 N Decatur Rd, Decatur, GA 30033-5910
	(404) 508-8058
	Not Available

Map and Direction

Provider's Profile

Full Name	Le'keisha Rodriguez
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	2738 N Decatur Rd, Decatur, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Le'keisha Rodriguez graduated from nursing school in 2012

NPI Data:

NPI Number: 1710233309
Provider Enumeration Date: 08/01/2012
Last Update Date: 10/15/2018

Medicare PECOS Information:

PECOS PAC ID: 7618211830
Enrollment ID: I20181129000113

Medical Identifiers

Medical identifiers for Le'keisha Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710233309	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN280479 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Qcpi-villagemd Pc	8123389277	74

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. Le'keisha Rodriguez allows following entities to bill medicare on her behalf.

Entity Name	Qcpi-villagemd Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558872432 PECOS PAC ID: 8123389277 Enrollment ID: O20180306001224

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. Le'keisha 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
Le'keisha Rodriguez, 6521 Terraglen Way, Locust Grove, GA 30248-7403 Ph: (757) 719-2835	Le'keisha Rodriguez, 2738 N Decatur Rd, Decatur, GA 30033-5910 Ph: (404) 508-8058

Reviews and Comments

Nurse Practitioner Nurses in Decatur, GA

Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886

Le'keisha Rodriguez, - Medicare Nurse Practitioner in Decatur, GA