Carlos Alberto Rodriguez, PHD in Grand Rapids, MI - Medicare Clinical Psychologist Provider

Carlos Alberto Rodriguez, PHD is a medicare enrolled "Psychologist" provider in Grand Rapids, Michigan. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is 2750 E Beltline Ave Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-7104.

Carlos Alberto Rodriguez is licensed to practice in Michigan (license number 6301017168) 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 1255711347.

Contact Information

	Carlos Alberto Rodriguez, PHD
	2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614
	(616) 267-7104
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carlos Alberto Rodriguez
Gender	Male
Speciality	Clinical Psychologist
Experience	9 Years
Location	2750 E Beltline Ave Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carlos Alberto Rodriguez graduated from medical school in 2015

NPI Data:

NPI Number: 1255711347
Provider Enumeration Date: 06/03/2015
Last Update Date: 02/22/2021

Medicare PECOS Information:

PECOS PAC ID: 7012280928
Enrollment ID: I20170829000139

Medical Identifiers

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

Identifier	Type	State	Issuer
1255711347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301017168 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectrum Health Primary Care Partners	4587568647	1590

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. Carlos Alberto Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

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. Carlos Alberto 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
Carlos Alberto Rodriguez, PHD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790	Carlos Alberto Rodriguez, PHD 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 Ph: (616) 267-7104

Reviews and Comments

Psychologist in Grand Rapids, MI

Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660
Michelle Marie Muenzenmeyer, LLP, CHMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Raybrook St Se Ste 102-1, Grand Rapids, MI 49546 Phone: 616-795-0900 Fax: 616-795-0899
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660
Marcia Hollingsworth, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033

Carlos Alberto Rodriguez, PHD - Medicare Psychologist in Grand Rapids, MI