Mr Paul Rudd, REG DIETICIAN is a medicare enrolled "Dietitian, Registered" provider in Benton, Kentucky. His current practice location is
307 E 12th St, Benton, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 527-1496.
Mr Paul Rudd is licensed to practice in Kentucky (license number KY1534) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831241611.
Healthcare Provider's Profile
Full Name | Mr Paul Rudd |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 307 E 12th St, Benton, Kentucky |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Paul Rudd attended and graduated from in
NPI Data:
- NPI Number: 1831241611
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 07/27/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Paul Rudd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831241611 | NPI | - | NPPES |
20079018 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | KY1534 (Kentucky) | Primary |
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 Paul 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 |
Mr Paul Rudd, REG DIETICIAN 267 Slickback Rd, Benton, KY 42025-7629 Ph: (270) 527-1496 | Mr Paul Rudd, REG DIETICIAN 307 E 12th St, Benton, KY 42025 Ph: (270) 527-1496 |
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