Dr Gregorio Lerma Rodriguez, MD - Medicare Internal Medicine in Charleston, MO

Dr Gregorio Lerma Rodriguez, MD is a medicare enrolled "Internal Medicine" physician in Charleston, Missouri. His current practice location is 1403 E. Marshall Street, Charleston, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 683-2327.

Dr Gregorio Lerma Rodriguez is licensed to practice in Missouri (license number 33173) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790883064.

Contact Information

Dr Gregorio Lerma Rodriguez, MD
1403 E. Marshall Street,
Charleston, MO 63834
(573) 683-2327
(573) 683-2373



Physician's Profile

Full NameDr Gregorio Lerma Rodriguez
GenderMale
SpecialityInternal Medicine
Location1403 E. Marshall Street, Charleston, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790883064
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 12/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6103961636
  • Enrollment ID: I20100308000724

Medical Identifiers

Medical identifiers for Dr Gregorio Lerma Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790883064NPI-NPPES
11432OtherMOBCBS
863024OtherMOFIRST HEALTH
200006500MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 33173 (Missouri)Secondary
207R00000XInternal Medicine 33173 (Missouri)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. Dr Gregorio Lerma Rodriguez allows following entities to bill medicare on his behalf.
Entity NameMissouri Delta Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508967860
PECOS PAC ID: 1355252891
Enrollment ID: O20040308001306

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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. Dr Gregorio Lerma 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 AddressPractice Location Address
Dr Gregorio Lerma Rodriguez, MD
1403 E Marshall St, 1403 E Marshall Street,
Charleston, MO 63834-1446

Ph: (573) 683-2327
Dr Gregorio Lerma Rodriguez, MD
1403 E. Marshall Street,
Charleston, MO 63834

Ph: (573) 683-2327

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Internal Medicine Doctors in Charleston, MO


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