Mr David L Rudler, LISW is a medicare enrolled "Social Worker - Clinical" provider in Conneaut, Ohio. His current practice location is
852 Grove St, Conneaut, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 599-9074.
Mr David L Rudler is licensed to practice in Ohio (license number I-0009314) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528052743.
Healthcare Provider's Profile
Full Name | Mr David L Rudler |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 852 Grove St, Conneaut, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528052743
- Provider Enumeration Date: 09/02/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840267225
- Enrollment ID: I20240206001944
Medical Identifiers
Medical identifiers for Mr David L Rudler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528052743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | I-0009314 (Ohio) | 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. Mr David L Rudler allows following entities to bill medicare on his behalf.
Entity Name | Signature Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
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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. Mr David L Rudler 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 |
Mr David L Rudler, LISW 852 Grove St, Conneaut, OH 44030-1658 Ph: (440) 599-9074 | Mr David L Rudler, LISW 852 Grove St, Conneaut, OH 44030-1658 Ph: (440) 599-9074 |
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