Dr Charles Rudolph, MD | |
170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 | |
(423) 458-1426 | |
(423) 790-1276 |
Full Name | Dr Charles Rudolph |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 170 Mouse Creek Rd Nw, Cleveland, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346351673 | NPI | - | NPPES |
000931499D | Medicaid | GA | |
3855171 | Medicaid | TN | |
00931499A | Medicaid | GA | |
3855172 | Medicaid | TN | |
3148810 | Other | TN | BCBS OF TENNESSEE |
4150063 | Other | TN | BLUE CROSS |
P00199940 | Other | TN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD32155 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dx Mso Pllc | 7719131101 | 65 |
Afc Urgent Care And Family Care Of Wnc Pllc | 2567713332 | 50 |
Entity Name | Dx Mso Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225381148 PECOS PAC ID: 7719131101 Enrollment ID: O20130213000017 |
Mailing Address | Practice 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 |
Sarah Jeanne Wood, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2390 N Ocoee St, Cleveland, TN 37311 Phone: 423-339-0300 Fax: 423-709-0543 | |
Azhar Sheikh, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1060 William Way Nw, Cleveland, TN 37312 Phone: 423-478-1050 Fax: 423-478-1075 | |
Ahmad Machhour Ibrahimbacha, M,D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 110 Dunhill Pl Nw, Cleveland, TN 37311 Phone: 423-476-2212 Fax: 423-476-7022 | |
Jonathan Powell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4312 Holiday Inn Express Way Nw Ste 203, Cleveland, TN 37312 Phone: 423-778-5661 Fax: 423-778-5664 | |
Samir Rahbe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Westside Dr Nw, Cleveland, TN 37312 Phone: 423-472-2155 Fax: 423-472-1913 | |
William F Buchner, Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2415 Chambliss Ave Nw, Cleveland, TN 37311 Phone: 423-559-2800 Fax: 423-559-0532 | |
Dr. Syed A Agha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2292 Chambliss Ave Nw Ste F, Cleveland, TN 37311 Phone: 423-919-1577 |