Gustavo Rodriguez, is a medicare enrolled "Optometrist" provider in Toppenish, Washington. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Yakima Valley Farm Workers Clinic and his current practice location is
510 W 1st Ave Unit 934, Toppenish, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 865-0800.
Gustavo Rodriguez is licensed to practice in Washington (license number 60900411) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558837021.
Healthcare Provider's Profile
| Full Name | Gustavo Rodriguez |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 6 Years |
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| Location | 510 W 1st Ave Unit 934, Toppenish, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gustavo Rodriguez graduated from medical school in 2018
NPI Data:
- NPI Number: 1558837021
- Provider Enumeration Date: 10/22/2018
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971844911
- Enrollment ID: I20190401001608
Medical Identifiers
Medical identifiers for Gustavo Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558837021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 60900411 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Yakima Valley Farm Workers Clinic | 4385541986 | 206 |
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. Gustavo Rodriguez allows following entities to bill medicare on his behalf.
| Provider Name | Yakima Valley Farm Workers Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295788602
PECOS PAC ID: 4385541986
Enrollment ID: O20040211000663 |
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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. Gustavo 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 |
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Gustavo Rodriguez,
510 W 1st Ave,
Toppenish, WA 98948-1564
Ph: (509) 865-0800 | Gustavo Rodriguez,
510 W 1st Ave Unit 934,
Toppenish, WA 98948-1564
Ph: (509) 865-0800 |
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