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Pamela Kay Rodriguez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as PAMELA RODRIGUEZ.

Based on the most recent information from CMS, provider Pamela Kay Rodriguez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1316685084
Provider Type
Individual
Full Name
Rodriguez, Pamela Kay
Credential
MSN, FNP-BC, CNP

Gender
Female
Sole Proprietor
No
Enumeration Date
5/23/2022
Last Updated
9/22/2023

Contact Information

Practice Location

135 Tripps Ln, Riverside, RI 02915-3017

(909) 583-3926

Unlisted Fax

Mailing Location

415 W Golf Rd Ste 26, Arlington Heights, IL 60005-3923

(855) 700-8184

(224) 633-1935

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN03702 Rhode Island

Pamela Kay Rodriguez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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