Edward L Rodriguez
JACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD


Address: 1200 N W Ave, Jackson, MI 49202-2179
Phone: 5177891209

Edward L Rodriguez (NPI# 1477579266, PAC ID# 5496048266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1477579266
PAC ID by PECOS 5496048266
Professional Enrollment ID I20160801002499
Full Name Edward L Rodriguez
Organization Legal Name JACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD
Address 1200 N W Ave
Jackson
MI 49202-2179
Phone Number 5177891209
Gender M
Graduation Year 1997
Primary Specialty PSYCHIATRY
Group Practice PAC ID 6406808062
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230037 HILLSDALE HOSPITAL
230092 HENRY FORD ALLEGIANCE HEALTH

Other Locations

Address Phone Organization
1200 N W Ave, Jackson, MI 49202-2179 5177891209 JACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 78%
ACI_EC_TRANS_MR_1 Medication Reconciliation 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 80%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 7%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 85%
ACI_EC_TRANS_SM_1 Secure Messaging 7%

Organization Information

Organization Legal Name JACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD
Physicians 8

Physicians with the same organization

Name Specialty Organization Address
Anjali J Mehta Psychiatry Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
Zakia I Alavi Psychiatry Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
Kelsey L Benjamin Clinical Social Worker Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
Natalie G Relph Psychiatry Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
Manish Prasad Psychiatry Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
Jennifer R Lee Psychiatry Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
Elizabeth Kathleen Heldt Clinical Social Worker Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179

Office Location

Street Address 1200 N W AVE
City JACKSON
State MI
Zip 49202-2179

Physicians in the same location

Name Specialty Organization Address
Devin J Dombrowski Clinical Social Worker Recovery Technology,llc 1200 N W Ave, Suite 400, Jackson, MI 49202-2180
Violetta A Kaminska-galecka Psychiatry Recovery Technology,llc 1200 N W Ave, Suite 400, Jackson, MI 49202-2180
Anjali J Mehta Psychiatry Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
Mitzi A Diesing Clinical Social Worker Recovery Technology,llc 1200 N W Ave, Suite 400, Jackson, MI 49202-2180
Zakia I Alavi Psychiatry Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
Kelsey L Benjamin Clinical Social Worker Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
Natalie G Relph Psychiatry Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
Brandy J Smith Nurse Practitioner South Dakota Urban Indian Health, Inc Sduih 1200 N W Ave, Sioux Falls, SD 57104-1335
Manish Prasad Psychiatry Jackson-hillsdale Community Mental Health Board 1200 N W Ave, Jackson, MI 49202-2179
John S Hand Psychologist, Clinical John S Hand Phd PC and Associates 1200 N W Ave, Suite 812, Jackson, MI 49202-2180
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Physicians in the same zip code

Name Specialty Organization Address
Michael Stephen Somero Infectious Disease W A Foote Memorial Hospital Inc 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432
Blake Andrew Brannick Podiatry W A Foote Memorial Hospital Inc 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432
Shoshana Woo Ambani Plastic and Reconstructive Surgery W A Foote Memorial Hospital Inc 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432
Daniel Piekarek Nurse Practitioner W A Foote Memorial Hospital Inc 2200 Springport Rd, Suite 260, Jackson, MI 49202-1432
Mallorie Kettlehut Nurse Practitioner W A Foote Memorial Hospital Inc 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432
Matthew R Jonovich Interventional Cardiology W A Foote Memorial Hospital Inc 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432
Ashley Elizabeth Poirier Nurse Practitioner W A Foote Memorial Hospital Inc 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432
Elena Gupta Internal Medicine W A Foote Memorial Hospital Inc 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432
Melissa Cerqueira Clinical Social Worker W A Foote Memorial Hospital Inc 2200 Springport Rd, Suite 200, Jackson, MI 49202-1432
Vincent R Elie Hospice/palliative Care W A Foote Memorial Hospital Inc 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432
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Competitor

Search similar physicians

City JACKSON
Zip Code 49202
Specialty PSYCHIATRY
City + Specialty JACKSON + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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