Dr Jamie Nicole Rodriguez, OD - Medicare Optometrist in Boise, ID

Dr Jamie Nicole Rodriguez, OD is a medicare enrolled "Optometrist" provider in Boise, Idaho. Her current practice location is 404 E Parkcenter Blvd Ste 170, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 210-4832.

Dr Jamie Nicole Rodriguez is licensed to practice in Idaho (license number ODP-100527) 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 1649688078.

Contact Information

Dr Jamie Nicole Rodriguez, OD
404 E Parkcenter Blvd Ste 170,
Boise, ID 83706-7564
(208) 210-4832
(208) 210-4833



Healthcare Provider's Profile

Full NameDr Jamie Nicole Rodriguez
GenderFemale
SpecialityOptometrist
Location404 E Parkcenter Blvd Ste 170, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649688078
  • Provider Enumeration Date: 07/29/2014
  • Last Update Date: 03/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820218993
  • Enrollment ID: I20221028001762

Medical Identifiers

Medical identifiers for Dr Jamie Nicole Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649688078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2825 (Oklahoma)Secondary
152W00000XOptometrist 60892989 (Washington)Secondary
152W00000XOptometrist ODP-100527 (Idaho)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 Jamie Nicole Rodriguez allows following entities to bill medicare on her behalf.
Provider NameLwk P C
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851624019
PECOS PAC ID: 5890824247
Enrollment ID: O20100524000915

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Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548786098
PECOS PAC ID: 8224303037
Enrollment ID: O20171004002431

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Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083370340
PECOS PAC ID: 5496129934
Enrollment ID: O20230323000918

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Provider IdentifiersNPI Number: 1124729835
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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 Jamie 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 Jamie Nicole Rodriguez, OD
404 E Parkcenter Blvd Ste 170,
Boise, ID 83706-7564

Ph: (208) 210-4832
Dr Jamie Nicole Rodriguez, OD
404 E Parkcenter Blvd Ste 170,
Boise, ID 83706-7564

Ph: (208) 210-4832

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Optometrist in Boise, ID

Vision Quest Medical Center, Pa
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 5680 W Gage St, Boise, ID 83706
Phone: 208-377-3937    Fax: 208-377-9455
Dr. Gregory N Bodily, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 610 Americana Blvd, Boise, ID 83702
Phone: 208-344-2020    Fax: 208-344-2371
Brent Sexauer, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1175 W Boise Ave, Boise, ID 83706
Phone: 208-384-9194    
J. Randall Pitman & Associates, P.c.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2051 S Cole Rd, Boise, ID 83709
Phone: 208-672-1200    Fax: 208-321-8728
Dr. James W Vail, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 3417 N Cole Rd, Boise, ID 83704
Phone: 208-377-1102    Fax: 208-377-5853
Dr. Lavar W Kofoed, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 291 N Milwaukee St, Boise, ID 83704
Phone: 208-378-7020    Fax: 208-378-9460
Dr. Paul Christian Neville, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 305 E Jefferson St, Boise, ID 83712
Phone: 208-381-6910    

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