Dr Kevin Patrick Ruddell, DC in Lewiston, ID - Medicare Chiropractic Provider

Dr Kevin Patrick Ruddell, DC is a medicare enrolled "Chiropractor" provider in Lewiston, Idaho. He went to Palmer College Chiropractic - Davenport and graduated in 1992 and has 32 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Ruddell Chiropractic Clinic and his current practice location is 1117 16th Avenue, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 743-8401.

Dr Kevin Patrick Ruddell is licensed to practice in Idaho (license number CHIR 725) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1013072669.

Contact Information

	Dr Kevin Patrick Ruddell, DC
	1117 16th Avenue, Lewiston, ID 83501
	(208) 743-8401
	(208) 743-8722

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kevin Patrick Ruddell
Gender	Male
Speciality	Chiropractic
Experience	32 Years
Location	1117 16th Avenue, Lewiston, Idaho
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kevin Patrick Ruddell attended and graduated from Palmer College Chiropractic - Davenport in 1992

NPI Data:

NPI Number: 1013072669
Provider Enumeration Date: 12/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5597928424
Enrollment ID: I20120512000000

Medical Identifiers

Medical identifiers for Dr Kevin Patrick Ruddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013072669	NPI	-	NPPES
000010024191	Other	ID	REGENCE
0190459	Other		DEPT LABOR & INDUSTRIES
C7259	Other	ID	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CHIR 725 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ruddell Chiropractic Clinic	5395907729	2

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 Kevin Patrick Ruddell allows following entities to bill medicare on his behalf.

Provider Name	Ruddell Chiropractic Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225235906 PECOS PAC ID: 5395907729 Enrollment ID: O20120501000835

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 Kevin Patrick Ruddell 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 Address	Practice Location Address
Dr Kevin Patrick Ruddell, DC 1117 16th Avenue, Lewiston, ID 83501 Ph: (208) 743-8401	Dr Kevin Patrick Ruddell, DC 1117 16th Avenue, Lewiston, ID 83501 Ph: (208) 743-8401

Reviews and Comments

Chiropractor in Lewiston, ID

Codi Fuller, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 30207 Rosenkrantz Rd, Lewiston, ID 83501 Phone: 208-691-8647
Lewiston Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3510 12th St Ste 200, Lewiston, ID 83501 Phone: 208-799-3333 Fax: 208-799-3375
Ruddell Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 1117 16th Ave, Lewiston, ID 83501 Phone: 208-743-8401 Fax: 208-743-8722
Dr. Susan Jane Aubuchon, R.N., D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3316 1/2 4th St, Ste 4a, Lewiston, ID 83501 Phone: 208-798-5420 Fax: 208-798-5430
Dr. Grover Lynn Mallard, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3320 10th St, Lewiston, ID 83501 Phone: 208-746-5226 Fax: 208-746-5268
Dr. Thomas Boyer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 717 D Street, Lewiston, ID 83501 Phone: 208-743-1424 Fax: 208-743-2803

Dr Kevin Patrick Ruddell, DC - Medicare Chiropractor in Lewiston, ID