Mr Roderick L Peoples Sr, IDC is a
Physician Assistant - Medical based in Ingleside, Texas. Mr Roderick L Peoples Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
93 Starlight, Ingleside, Texas. He can be reached at his office (for appointments etc.) via phone at
(315) 264-4715.
NPI number for Mr Roderick L Peoples Sr is 1407023435 and his current mailing address is 93 Starlight, Ingleside, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407023435.
Provider's Profile
| Full Name | Mr Roderick L Peoples Sr |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 93 Starlight, Ingleside, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407023435
- Provider Enumeration Date: 05/09/2008
- Last Update Date: 05/09/2008
Medical Identifiers
Medical identifiers for Mr Roderick L Peoples Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407023435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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 Roderick L Peoples Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Roderick L Peoples Sr, IDC
93 Starlight,
Ingleside, TX 78362-4945
Ph: () - | Mr Roderick L Peoples Sr, IDC
93 Starlight,
Ingleside, TX 78362-4945
Ph: (315) 264-4715 |
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