Dr James Raymond Rudolph, MD in Fort Wayne, IN

Dr James Raymond Rudolph, MD is a medicare enrolled "Emergency Medicine" physician in Fort Wayne, Indiana. His current practice location is 2121 Lake Ave, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 426-5531.

Dr James Raymond Rudolph is licensed to practice in Indiana (license number 01031169A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306863923.

Contact Information

	Dr James Raymond Rudolph, MD
	2121 Lake Ave, Fort Wayne, IN 46805-5100
	(260) 426-5531
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr James Raymond Rudolph
Gender	Male
Speciality	Emergency Medicine
Location	2121 Lake Ave, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306863923
Provider Enumeration Date: 07/17/2006
Last Update Date: 04/15/2013

Medicare PECOS Information:

PECOS PAC ID: 1153311584
Enrollment ID: I20051219000719

Medical Identifiers

Medical identifiers for Dr James Raymond Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306863923	NPI	-	NPPES
100366510	Medicaid	IN
100366510A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01031169A (Indiana)	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 James Raymond Rudolph allows following entities to bill medicare on his behalf.

Entity Name	Woodlawn Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639241227 PECOS PAC ID: 4082506993 Enrollment ID: O20040326000043

Entity Name	Parkview Wabash Hospital Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1245259878 PECOS PAC ID: 0244553360 Enrollment ID: O20141222002050

Entity Name	Nes Of Sandusky Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972978583 PECOS PAC ID: 8022311729 Enrollment ID: O20160128002524

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 James Raymond 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 Address	Practice Location Address
Dr James Raymond Rudolph, MD 1848 S Deer Park Dr, Peru, IN 46970-7279 Ph: (765) 472-7629	Dr James Raymond Rudolph, MD 2121 Lake Ave, Fort Wayne, IN 46805-5100 Ph: (260) 426-5531

Reviews and Comments

Emergency Medicine Doctors in Fort Wayne, IN

Dr. Danyelle R Aber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000
Amy Souers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000
Aeden J Ligon, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9216 Crystal Spring Dr, Fort Wayne, IN 46804 Phone: 765-480-9828
Albert V Emilian, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10343 Dawsons Creek Blvd, Suite A, Fort Wayne, IN 46825 Phone: 260-203-9600 Fax: 260-739-6167
Dr. Janardhanan V Davy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd Ste 2121, Fort Wayne, IN 46804 Phone: 260-435-2937
Dr. Elmer Toliver, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431
Bruce Sowers, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001

Dr James Raymond Rudolph, MD - Medicare Emergency Medicine in Fort Wayne, IN