John Rudolph, LPC in Grafton, OH - Medicare Counselor Provider

John Rudolph, LPC is a medicare enrolled "Counselor - Professional" provider in Grafton, Ohio. His current practice location is 35895 Royalton Rd, Grafton, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 529-9419.

John Rudolph is licensed to practice in * (Not Available) (license number ) 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 1952896052.

Contact Information

	John Rudolph, LPC
	35895 Royalton Rd, Grafton, OH 44044-9587
	(440) 529-9419
	(440) 588-8764

Map and Direction

Healthcare Provider's Profile

Full Name	John Rudolph
Gender	Male
Speciality	Counselor - Professional
Location	35895 Royalton Rd, Grafton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952896052
Provider Enumeration Date: 06/30/2018
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID: 5890236483
Enrollment ID: I20240923003719

Medical Identifiers

Medical identifiers for John Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952896052	NPI	-	NPPES
0298176	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C.0007827 (Ohio)	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	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. John Rudolph allows following entities to bill medicare on his behalf.

Entity Name	Aarons Hope Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518465889 PECOS PAC ID: 7517349772 Enrollment ID: O20220804000523

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. John Rudolph 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
John Rudolph, LPC Po Box 1075, Columbia Station, OH 44028-1075 Ph: (440) 529-9419	John Rudolph, LPC 35895 Royalton Rd, Grafton, OH 44044-9587 Ph: (440) 529-9419

Reviews and Comments

Counselor in Grafton, OH

Claudia Boryka, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 35895 Royalton Rd, Grafton, OH 44044 Phone: 440-529-9419 Fax: 440-588-8764
Kyle Metzger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11600 Durkee Rd, Grafton, OH 44044 Phone: 216-361-7760 Fax: 216-361-3600
Mr. Jeffrey J Jerabek, LICDC-CS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Avon Belden Rd, Grafton, OH 44044 Phone: 440-748-5747
Marlene Ann Bielek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35895 Royalton Rd, Grafton, OH 44044 Phone: 440-529-9419
Jennifer Whitten, LPCC-SUPV Counselor Medicare: Medicare Enrolled Practice Location: 2500 Avon Belden Rd, Grafton, OH 44044 Phone: 440-748-5474
Donald Christian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2075 Avon Belden Rd, Grafton, OH 44044 Phone: 440-748-1049
Kimbrley D Clark, LICDC-CS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2057 S. Avon-belden Rd, Grafton, OH 44044 Phone: 440-748-1049

John Rudolph, LPC - Medicare Counselor in Grafton, OH