Mr Robert Michael Rodriguez, RN in Orangeburg, SC

Mr Robert Michael Rodriguez, RN is a medicare enrolled "Nurse Practitioner - Gerontology" in Orangeburg, South Carolina. His current practice location is 1773 Village Park Dr, Orangeburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 535-3600.

Mr Robert Michael Rodriguez is licensed to practice in South Carolina (license number 28254) 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 1366023574.

Contact Information

	Mr Robert Michael Rodriguez, RN
	1773 Village Park Dr, Orangeburg, SC 29118-2475
	(803) 535-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Robert Michael Rodriguez
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	1773 Village Park Dr, Orangeburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366023574
Provider Enumeration Date: 04/19/2021
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 7416395090
Enrollment ID: I20240402000601

Medical Identifiers

Medical identifiers for Mr Robert Michael Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366023574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	28254 (South Carolina)	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 Robert Michael Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	University Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

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 Robert Michael 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 Robert Michael Rodriguez, RN 119 Marshside Dr, Summerville, SC 29485-6254 Ph: (410) 913-2894	Mr Robert Michael Rodriguez, RN 1773 Village Park Dr, Orangeburg, SC 29118-2475 Ph: (803) 535-3600

Reviews and Comments

Nurse Practitioner Nurses in Orangeburg, SC

Catherine Simmons, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3310 Magnolia Centers Inc, Orangeburg, SC 29115 Phone: 843-701-6387
Shannon W Easterlin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-3118
Monica Monique Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Constance Gainey Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Vincent Bernard Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900
Ms. Erica Thompson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1773 Village Park Drive, Orangeburg, SC 29118 Phone: 803-535-3600
Cortney Powell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3045 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-747-7242 Fax: 803-747-7243

Mr Robert Michael Rodriguez, RN - Medicare Nurse Practitioner in Orangeburg, SC