Dr Audrey Kay Rutherford, MD - Medicare Dermatology in Centerville, UT

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Dr Audrey Kay Rutherford, MD is a medicare enrolled "Dermatology" physician in Centerville, Utah. Her current practice location is 1222 W Legacy Crossing Blvd Ste 200, Centerville, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 549-0570.

Dr Audrey Kay Rutherford is licensed to practice in Utah (license number 12829524-1205) 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 1366946899.

Contact Information

Dr Audrey Kay Rutherford, MD
1222 W Legacy Crossing Blvd Ste 200,
Centerville, UT 84014-5560
(801) 549-0570
Not Available

Map and Direction




Physician's Profile

Full NameDr Audrey Kay Rutherford
GenderFemale
SpecialityDermatology
Location1222 W Legacy Crossing Blvd Ste 200, Centerville, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366946899
  • Provider Enumeration Date: 03/20/2018
  • Last Update Date: 09/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385029230
  • Enrollment ID: I20220914000728

Medical Identifiers

Medical identifiers for Dr Audrey Kay Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366946899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 12829524-1205 (Utah)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. Dr Audrey Kay Rutherford allows following entities to bill medicare on her behalf.
Entity NameIntegrated Dermatology Of Bountiful Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629396841
PECOS PAC ID: 6507990793
Enrollment ID: O20100810000181

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. Dr Audrey Kay Rutherford 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 AddressPractice Location Address
Dr Audrey Kay Rutherford, MD
114 Deer Creek Dr,
Aledo, TX 76008-3900

Ph: (817) 304-8839		Dr Audrey Kay Rutherford, MD
1222 W Legacy Crossing Blvd Ste 200,
Centerville, UT 84014-5560

Ph: (801) 549-0570

Reviews and Comments


Dermatology Doctors in Centerville, UT


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.