Mr Nick Balarama Rodriguez, AA in Saint Louis, MO - Medicare Anesthesiologist Assistant

Mr Nick Balarama Rodriguez, AA is a medicare enrolled "Anesthesiologist Assistant" in Saint Louis, Missouri. His current practice location is 615 S New Ballas Rd Dept Of, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 386-9224.

Mr Nick Balarama Rodriguez is licensed to practice in Missouri (license number PENDING) 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 1043997190.

Contact Information

	Mr Nick Balarama Rodriguez, AA
	615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221
	(636) 386-9224
	(636) 386-7679

Map and Direction

Provider's Profile

Full Name	Mr Nick Balarama Rodriguez
Gender	Male
Speciality	Anesthesiologist Assistant
Location	615 S New Ballas Rd Dept Of, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043997190
Provider Enumeration Date: 06/30/2023
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 5991159881
Enrollment ID: I20230926003471

Medical Identifiers

Medical identifiers for Mr Nick Balarama Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043997190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	PENDING (Missouri)	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. Mr Nick Balarama Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Western Anesthesiology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275646754 PECOS PAC ID: 6204720667 Enrollment ID: O20040226000438

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. Mr Nick Balarama 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
Mr Nick Balarama Rodriguez, AA 339 Consort Dr, Ballwin, MO 63011-4439 Ph: (636) 386-9224	Mr Nick Balarama Rodriguez, AA 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221 Ph: (636) 386-9224

Reviews and Comments

Anesthesiologist Assistant Nurses in Saint Louis, MO

Jeremy Stephen Colyer, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 636-386-7222 Fax: 636-200-4036
Mrs. Maria Jones, C-AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141 Phone: 636-386-9224 Fax: 636-200-4243
Alexander Sextro, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Saint Louis, MO 63136 Phone: 314-653-5000
Alexis Haas Stewart, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-5700
Mr. Brian J Ho, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Dept. Of Anesthesiology, Saint Louis, MO 63141 Phone: 314-251-4687 Fax: 636-200-4243
Laheart Marie Rodney, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-268-7267

Mr Nick Balarama Rodriguez, AA - Medicare Anesthesiologist Assistant in Saint Louis, MO