Kimberly Alene Rudy, ASW in San Francisco, CA

Kimberly Alene Rudy, ASW is a medicare enrolled "Counselor - Mental Health" provider in San Francisco, California. Her current practice location is 52 Dore St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 553-3115.

Kimberly Alene Rudy is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205150760.

Contact Information

	Kimberly Alene Rudy, ASW
	52 Dore St, San Francisco, CA 94103-3828
	(415) 553-3115
	(415) 861-0257

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Alene Rudy
Gender	Female
Speciality	Counselor - Mental Health
Location	52 Dore St, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205150760
Provider Enumeration Date: 03/26/2010
Last Update Date: 03/26/2010

Medicare PECOS Information:

PECOS PAC ID: 3173993763
Enrollment ID: I20221222001134

Medical Identifiers

Medical identifiers for Kimberly Alene Rudy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205150760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Kimberly Alene Rudy allows following entities to bill medicare on her behalf.

Entity Name	Blue Moon Senior Counseling Of California Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497

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. Kimberly Alene Rudy 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
Kimberly Alene Rudy, ASW 368 Fell St, San Francisco, CA 94102-5144 Ph: (415) 861-0828	Kimberly Alene Rudy, ASW 52 Dore St, San Francisco, CA 94103-3828 Ph: (415) 553-3115

Reviews and Comments

Counselor in San Francisco, CA

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David R Lanham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Howard St, San Francisco, CA 94103 Phone: 415-864-3057
Lydia Kay Borg, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 887 Potrero Ave, L-unit, San Francisco, CA 94110 Phone: 510-317-1444
Ms. Heather Marie Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 9th St, San Francisco, CA 94103 Phone: 415-863-4582
Ms. Kathryn Ann Malone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Polk St, San Francisco, CA 94109 Phone: 415-292-2179

Kimberly Alene Rudy, ASW - Medicare Counselor in San Francisco, CA