Jessica M Rodriguez

Pediatric Nephrology | Female

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Complete Profile:

Jessica M Rodriguez basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Jessica M Rodriguez
Gender :	Female

Business Address:

Jessica M Rodriguez address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	13101 Bruce B Dwn Blvd # 105 Tampa, FL, 33612-3803 United States
Phone Number :	813-259-8700

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1174848378
NPI Entity Type :	Individual
First Enrolment Date :	30 Mar, 2010
Last Updated On :	27 Oct, 2020

Medicare Participation:

Jessica M Rodriguez participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3870869738
Medicare Enrollment ID :	I20171019002286
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Chicago, Pritzker School Of Medicine
Graduation Year :	2010
Accepts Medicare?	Yes. Jessica M Rodriguez accepts medicare insurance.

Group Practice Association:

Jessica M Rodriguez is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jessica M Rodriguez is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Medical Service Association Inc	6800790221	661	17 Davis Blvd Suite 1 Tampa, FL - 336063475 Ph: 8132598700	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jessica M Rodriguez are as mentioned. Primary taxonomy code for Jessica M Rodriguez is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	ME132860	FL

Legacy Identifiers:

Other legacy medical identifiers of Jessica M Rodriguez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
DX4TM	Other	FL	BLUE CROSS BLUE SHIELD
021902500	MEDICAID	FL

Other Practice Locations:

Practice Address	City, State	Phone Number
725 WELCH RD, PALO ALTO, CA, 94304-1601 United States	PALO ALTO, CA	650-497-8000
725 WELCH RD, PALO ALTO, CA, 94304-1601 United States	PALO ALTO, CA	650-497-8000

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 917770 Orlando, FL, 32891-0001 United States

Business Location:

Patients can refer following map for directions to Jessica M Rodriguez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.