Carla Rudolph, DO is a medicare enrolled "General Practice" physician in Edgewood, New Mexico. Her current practice location is
1851 Old Us 66, Edgewood, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 286-2396.
Carla Rudolph is licensed to practice in New Mexico (license number A-1770-13) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104182328.
Physician's Profile
Full Name | Carla Rudolph |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1851 Old Us 66, Edgewood, New Mexico |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carla Rudolph attended and graduated from in
NPI Data:
- NPI Number: 1104182328
- Provider Enumeration Date: 04/02/2012
- Last Update Date: 05/04/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carla Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104182328 | NPI | - | NPPES |
1104182328 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | A-1770-13 (New Mexico) | 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. Carla Rudolph 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 |
Carla Rudolph, DO 1851 Old Us 66, Edgewood, NM 87015-7200 Ph: (505) 286-2396 | Carla Rudolph, DO 1851 Old Us 66, Edgewood, NM 87015-7200 Ph: (505) 286-2396 |
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