Dr Jacquelyn Nicole Rodriguez, MD - Medicare Obstetrics/gynecology in Warren, MI

Dr Jacquelyn Nicole Rodriguez, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Warren, Michigan. She went to Michigan State University College Of Human Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Ascension Medical Group Michigan and her current practice location is 11012 E 13 Mile Rd, Ste # 212, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 582-7150.

Dr Jacquelyn Nicole Rodriguez is licensed to practice in Michigan (license number 4301083536) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427264902.

Contact Information

Dr Jacquelyn Nicole Rodriguez, MD
11012 E 13 Mile Rd, Ste # 212,
Warren, MI 48093-2572
(586) 582-7150
(586) 582-7164



Physician's Profile

Full NameDr Jacquelyn Nicole Rodriguez
GenderFemale
SpecialityObstetrics/gynecology
Experience20 Years
Location11012 E 13 Mile Rd, Ste # 212, Warren, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacquelyn Nicole Rodriguez attended and graduated from Michigan State University College Of Human Medicine in 2004
  NPI Data:
  • NPI Number: 1427264902
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 01/16/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 2769541101
  • Enrollment ID: I20081030000283

Medical Identifiers

Medical identifiers for Dr Jacquelyn Nicole Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427264902NPI-NPPES
16-0502308-2OtherMIBCBSM PIN NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 4301083536 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital
Beaumont Hospital, TroyTroy, MIHospital
Ascension St John HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group Michigan0648180406105

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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 Jacquelyn Nicole Rodriguez allows following entities to bill medicare on her behalf.
Entity NameAscension Macomb Oakland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176472
PECOS PAC ID: 7315859725
Enrollment ID: O20031107000047

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Entity NameAscension Medical Group Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942317631
PECOS PAC ID: 0648180406
Enrollment ID: O20031113000362

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Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043478910
PECOS PAC ID: 3173424082
Enrollment ID: O20040115000409

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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 Jacquelyn Nicole 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 Jacquelyn Nicole Rodriguez, MD
11012 E 13 Mile Rd, Ste # 212,
Warren, MI 48093-2572

Ph: (586) 582-7150
Dr Jacquelyn Nicole Rodriguez, MD
11012 E 13 Mile Rd, Ste # 212,
Warren, MI 48093-2572

Ph: (586) 582-7150

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Obstetrics & Gynecology Doctors in Warren, MI

Dr. Mimi Chen, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 28585 Schoenherr Rd, Warren, MI 48088
Phone: 586-573-6910    Fax: 586-573-6746
Dr. Stephanie M Paluda, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11300 E 13 Mile Rd, Ste 4a, Warren, MI 48088
Phone: 586-574-1313    Fax: 586-574-0842
Mrs. Carole L Kowalczyk, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 4700 E. 13 Mile Road, Suite 200, Warren, MI 48092
Phone: 586-576-0431    Fax: 586-576-0924
Stacy Ann Paye, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11885 E 12 Mile Rd, Warren, MI 48093
Phone: 586-582-7060    Fax: 586-582-7051
Stacey Lemanski, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11885 E 12 Mile Rd, 200a, Warren, MI 48093
Phone: 586-582-7060    Fax: 586-582-7051
Paige Elizabeth Paladino, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11900 E 12 Mile Rd, Ste. 312, Warren, MI 48093
Phone: 586-582-7060    Fax: 586-582-7051
Dr. Kristen E Wuckert, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11300 E 13 Mile Rd, Ste 4a, Warren, MI 48093
Phone: 586-574-1313    Fax: 586-574-0842

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