Dr Clare Elizabeth Rudolph, MD | |
2175 South Ave, South Lake Tahoe, CA 96150-7024 | |
(530) 543-5711 | |
(530) 544-2503 |
Full Name | Dr Clare Elizabeth Rudolph |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 14 Years |
Location | 2175 South Ave, South Lake Tahoe, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902117732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 20907 (Nevada) | Secondary |
207V00000X | Obstetrics & Gynecology | A124647 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Barton Memorial Hospital | South lake tahoe, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Barton Medical Foundation | 5395127682 | 66 |
Barton Medical Foundation | 5395127682 | 66 |
Entity Name | Tahoe Carson Valley Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
Entity Name | Barton Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
Mailing Address | Practice Location Address |
---|---|
Dr Clare Elizabeth Rudolph, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 543-5659 | Dr Clare Elizabeth Rudolph, MD 2175 South Ave, South Lake Tahoe, CA 96150-7024 Ph: (530) 543-5711 |
Dr. Mary Kelly Shanahan, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150 Phone: 530-542-4961 Fax: 530-542-4964 | |
Megan F Jewell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2175 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5711 Fax: 530-544-2503 | |
Dr. Amanda Stevens Weavil, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2175 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5711 Fax: 530-544-2503 | |
Dr. Matthew Joseph Barulich Iii, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 775-882-8487 Fax: 775-882-8487 |