Violet Rudd, LAMFT is a medicare enrolled "Marriage & Family Therapist" provider in Rathdrum, Idaho. Her current practice location is
14954 N Coeur Dalene St, Rathdrum, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 687-0538.
Violet Rudd is licensed to practice in Idaho (license number LAMFT 6109) 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 1598204190.
Healthcare Provider's Profile
| Full Name | Violet Rudd |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 14954 N Coeur Dalene St, Rathdrum, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598204190
- Provider Enumeration Date: 02/15/2017
- Last Update Date: 02/15/2017
Medicare PECOS Information:
- PECOS PAC ID: 2264823616
- Enrollment ID: I20240112004291
Medical Identifiers
Medical identifiers for Violet Rudd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598204190 | NPI | - | NPPES |
| 1437270097 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | LAMFT 6109 (Idaho) | 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. Violet Rudd allows following entities to bill medicare on her behalf.
| Entity Name | Mental Wellness And Relationship Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932773363
PECOS PAC ID: 5092106443
Enrollment ID: O20211220002179 |
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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. Violet Rudd 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 |
|---|
Violet Rudd, LAMFT
14954 N Coeur Dalene St,
Rathdrum, ID 83858-6484
Ph: (208) 687-0538 | Violet Rudd, LAMFT
14954 N Coeur Dalene St,
Rathdrum, ID 83858-6484
Ph: (208) 687-0538 |
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