Stephanie Rodriguez, PNP in Los Angeles, CA - Medicare Nurse Practitioner

Stephanie Rodriguez, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Los Angeles, California. Her current practice location is 808 W 58th St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 541-1600.

Stephanie Rodriguez is licensed to practice in California (license number 95021925) 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 1336821594.

Contact Information

	Stephanie Rodriguez, PNP
	808 W 58th St, Los Angeles, CA 90037-3632
	(323) 541-1600
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Rodriguez
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	808 W 58th St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336821594
Provider Enumeration Date: 08/07/2023
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2163877267
Enrollment ID: I20231010001585

Medical Identifiers

Medical identifiers for Stephanie Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336821594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95021925 (California)	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. Stephanie Rodriguez allows following entities to bill medicare on her behalf.

Entity Name	St Johns Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

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. Stephanie 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
Stephanie Rodriguez, PNP 808 W 58th St, Los Angeles, CA 90037-3632 Ph: (323) 541-1600	Stephanie Rodriguez, PNP 808 W 58th St, Los Angeles, CA 90037-3632 Ph: (323) 541-1600

Reviews and Comments

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Stephanie Rodriguez, PNP - Medicare Nurse Practitioner in Los Angeles, CA