Dr Ehren Rudolph, MD, PHD - Medicare Neurosurgery in Saint Paul, MN

Dr Ehren Rudolph, MD, PHD is a medicare enrolled "Surgery" physician in Saint Paul, Minnesota. He went to University Of Wisconsin School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice North Memorial Health Care and his current practice location is 640 Jackson St, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-5151.

Dr Ehren Rudolph is licensed to practice in Minnesota (license number 56702) 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 1952628604.

Contact Information

Dr Ehren Rudolph, MD, PHD
640 Jackson St,
Saint Paul, MN 55101-2502
(651) 254-5151
(651) 254-4123

Map and Direction




Physician's Profile

Full NameDr Ehren Rudolph
GenderMale
SpecialityNeurosurgery
Experience14 Years
Location640 Jackson St, Saint Paul, Minnesota
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 Ehren Rudolph attended and graduated from University Of Wisconsin School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1952628604
  • Provider Enumeration Date: 04/20/2010
  • Last Update Date: 09/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7618117417
  • Enrollment ID: I20130627000610

Medical Identifiers

Medical identifiers for Dr Ehren Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952628604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care 56702 (Minnesota)Secondary
208600000XSurgery 56702 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Memorial HealthRobbinsdale, MNHospital
Maple Grove HospitalMaple grove, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Memorial Health Care0042123028474

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 Ehren Rudolph allows following entities to bill medicare on his behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameNorth Memorial Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470

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 Ehren 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 Ehren Rudolph, MD, PHD
420 Delaware St Se,
Minneapolis, MN 55455-0341

Ph: (612) 625-3926
Dr Ehren Rudolph, MD, PHD
640 Jackson St,
Saint Paul, MN 55101-2502

Ph: (651) 254-5151

Reviews and Comments


Surgery Doctors in Saint Paul, MN

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Dr. Diane S Ogren, MD
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Dr. Robert Elliott Bulander Jr., M.D.
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Practice Location: 640 Jackson St, Mail Stop 11502v, Saint Paul, MN 55101
Phone: 651-254-3136    Fax: 651-254-1480

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.