Dr Ehren Rudolph, MD, PHD | |
640 Jackson St, Saint Paul, MN 55101-2502 | |
(651) 254-5151 | |
(651) 254-4123 |
Full Name | Dr Ehren Rudolph |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 14 Years |
Location | 640 Jackson St, Saint Paul, Minnesota |
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 |
---|---|---|---|
1952628604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 56702 (Minnesota) | Secondary |
208600000X | Surgery | 56702 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Memorial Health | Robbinsdale, MN | Hospital |
Maple Grove Hospital | Maple grove, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Memorial Health Care | 0042123028 | 474 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | North Memorial Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
Mailing Address | Practice 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 |
Juan Jose Blondet Teixeira, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 280 Smith Ave N, Suite 700, Saint Paul, MN 55102 Phone: 651-241-6600 | |
Brian S Myer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St # Ms 11502v, Saint Paul, MN 55101 Phone: 651-254-7980 Fax: 651-254-7990 | |
Sarah Storrs, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-7980 Fax: 651-254-7990 | |
Dr. James Adam Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N, Ste. 400, Saint Paul, MN 55102 Phone: 651-290-0133 | |
Richard S Gregory, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N, Suite 200, Saint Paul, MN 55102 Phone: 651-241-6550 Fax: 651-241-6586 | |
Dr. Diane S Ogren, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 310 Smith Ave N, Saint Paul, MN 55102 Phone: 952-843-4333 Fax: 952-843-4301 | |
Dr. Robert Elliott Bulander Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11502v, Saint Paul, MN 55101 Phone: 651-254-3136 Fax: 651-254-1480 |