Mr Paul Rudd, REG DIETICIAN is a medicare enrolled "Dietitian, Registered" provider in Benton, Kentucky. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. 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 | Registered Dietitian Or Nutrition Professional |
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Experience | 25 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 graduated from medical school in 1999
NPI Data:
- NPI Number: 1831241611
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 07/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 4688703549
- Enrollment ID: I20100602000672
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 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. Mr Paul Rudd allows following entities to bill medicare on his behalf.
Provider Name | Marshall County Health Dept |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1104800127 PECOS PAC ID: 8527000314 Enrollment ID: O20050523000392 |
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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. 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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