Elizabeth M Rodriguez, MD - Medicare Family Medicine in Bolivar, TN

Elizabeth M Rodriguez, MD is a medicare enrolled "Family Medicine" physician in Bolivar, Tennessee. Her current practice location is 622 W Market St, Bolivar, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 658-2885.

Elizabeth M Rodriguez is licensed to practice in Tennessee (license number 66166) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700447521.

Contact Information

Elizabeth M Rodriguez, MD
622 W Market St,
Bolivar, TN 38008-2201
(731) 658-2885
(731) 658-2886



Physician's Profile

Full NameElizabeth M Rodriguez
GenderFemale
SpecialityFamily Medicine
Location622 W Market St, Bolivar, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700447521
  • Provider Enumeration Date: 06/24/2019
  • Last Update Date: 08/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325373558
  • Enrollment ID: I20220826000288

Medical Identifiers

Medical identifiers for Elizabeth M Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700447521NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 66166 (Tennessee)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. Elizabeth M Rodriguez allows following entities to bill medicare on her behalf.
Entity NameMaury Regional Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205886264
PECOS PAC ID: 7911810742
Enrollment ID: O20040227000252

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Entity NameMaury Regional Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861479545
PECOS PAC ID: 4688569718
Enrollment ID: O20040330001709

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Entity NameAfc Physicians Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114234523
PECOS PAC ID: 5395924823
Enrollment ID: O20110128000880

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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. Elizabeth M 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
Elizabeth M Rodriguez, MD
828 N Parkway,
Jackson, TN 38305-3185

Ph: (731) 422-0213
Elizabeth M Rodriguez, MD
622 W Market St,
Bolivar, TN 38008-2201

Ph: (731) 658-2885

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Family Medicine Doctors in Bolivar, TN

Dr. Robert Wayne Dunavant, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-7111    Fax: 731-658-4328
Dr. John Lee Blankenship, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Dr. Samuel Terry Johnson Jr., M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Lawrence Diaz, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Olufemi E Soyinka, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Dr. Nithyananda Pakkala, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 630 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-6011    Fax: 731-658-9884
Mrs. Holly Brooke Shourd, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1359 W Market St., Bolivar, TN 38008
Phone: 731-361-1003    

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