Randal Rudder, LPC in Glendale, AZ - Medicare Counselor Provider

Randal Rudder, LPC is a medicare enrolled "Counselor - Professional" provider in Glendale, Arizona. His current practice location is 5801 N 51st Ave, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 685-6000.

Randal Rudder is licensed to practice in Arizona (license number 21102) 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 1891443800.

Contact Information

	Randal Rudder, LPC
	5801 N 51st Ave, Glendale, AZ 85301-6057
	(602) 685-6000
	(602) 930-0358

Map and Direction

Healthcare Provider's Profile

Full Name	Randal Rudder
Gender	Male
Speciality	Counselor - Professional
Location	5801 N 51st Ave, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891443800
Provider Enumeration Date: 03/17/2022
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 7911340260
Enrollment ID: I20240204000105

Medical Identifiers

Medical identifiers for Randal Rudder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891443800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	21102 (Arizona)	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. Randal Rudder allows following entities to bill medicare on his behalf.

Entity Name	Terros, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841498060 PECOS PAC ID: 8224077045 Enrollment ID: O20050429000811

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. Randal Rudder 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
Randal Rudder, LPC 3003 N Central Ave Ste 400, Phoenix, AZ 85012-2929 Ph: (602) 685-6000	Randal Rudder, LPC 5801 N 51st Ave, Glendale, AZ 85301-6057 Ph: (602) 685-6000

Reviews and Comments

Counselor in Glendale, AZ

Laura Elma Huber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17505 N 79th Ave, Ste. 311c, Glendale, AZ 85308 Phone: 623-692-4311
Katherine Marie Hanlon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17235 N 75th Ave Ste F100, Glendale, AZ 85308 Phone: 480-641-1165
Melissa Quarteroni, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3619 W Michigan Ave, Glendale, AZ 85308 Phone: 602-703-5266
Mr. Michael L Sweeney, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 18555 N 79th Ave Ste B103, Glendale, AZ 85308 Phone: 623-334-9700 Fax: 623-334-9800
Josephine K Pierce, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4425 W Olive Ave, # 200 & 140, Glendale, AZ 85302 Phone: 602-685-6000 Fax: 602-930-0358
Parveen Bobby Shaik, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17235 N 75th Ave Ste F100, Glendale, AZ 85308 Phone: 480-641-1165
Mr. Kathy Weeks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22800 N 67th Ave, Glendale, AZ 85310 Phone: 623-376-3060

Randal Rudder, LPC - Medicare Counselor in Glendale, AZ