Dr Charles Rudolph, MD - Medicare Family Practice in Cleveland, TN

Dr Charles Rudolph, MD is a medicare enrolled "Internal Medicine" physician in Cleveland, Tennessee. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dx Mso Pllc, Afc Urgent Care And Family Care Of Wnc Pllc and his current practice location is 170 Mouse Creek Rd Nw, Cleveland, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 458-1426.

Dr Charles Rudolph is licensed to practice in Tennessee (license number MD32155) 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 1346351673.

Contact Information

Dr Charles Rudolph, MD
170 Mouse Creek Rd Nw,
Cleveland, TN 37312-3840
(423) 458-1426
(423) 790-1276

Map and Direction




Physician's Profile

Full NameDr Charles Rudolph
GenderMale
SpecialityFamily Practice
Experience29 Years
Location170 Mouse Creek Rd Nw, Cleveland, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Charles Rudolph attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1346351673
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 04/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284685678
  • Enrollment ID: I20050202000872

Medical Identifiers

Medical identifiers for Dr Charles Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346351673NPI-NPPES
000931499DMedicaidGA
3855171MedicaidTN
00931499AMedicaidGA
3855172MedicaidTN
3148810OtherTNBCBS OF TENNESSEE
4150063OtherTNBLUE CROSS
P00199940OtherTNRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD32155 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dx Mso Pllc771913110165
Afc Urgent Care And Family Care Of Wnc Pllc256771333250

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 Charles Rudolph allows following entities to bill medicare on his behalf.
Entity NameDx Mso Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225381148
PECOS PAC ID: 7719131101
Enrollment ID: O20130213000017

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 Charles 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 AddressPractice Location Address
Dr Charles Rudolph, MD
1025 Peerless Xing Nw,
Cleveland, TN 37312-3764

Ph: (423) 476-5990
Dr Charles Rudolph, MD
170 Mouse Creek Rd Nw,
Cleveland, TN 37312-3840

Ph: (423) 458-1426

Reviews and Comments


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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.