Dr Michael Patrick Rudolph, DO | |
305 S State St, Aberdeen, SD 57401-4527 | |
(605) 622-2142 | |
(605) 622-5127 |
Full Name | Dr Michael Patrick Rudolph |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 305 S State St, Aberdeen, South Dakota |
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 |
---|---|---|---|
1295732923 | NPI | - | NPPES |
0120733 | Medicaid | IA | |
0442343 | Medicaid | IA | |
000000391600 | Other | IN | ANTHEM PROVIDER NUMBER |
200802530 | Medicaid | IN | |
11507531 | Other | IN | CAQH NUMBER |
9265107 | Other | IN | PHCS PID NUMBER |
50171 | Other | IA | WELLMARK GROUP # |
4571 | Other | SD | MEDICAL LICENSE |
Facility Name | Location | Facility Type |
---|---|---|
Women's Hospital The | Newburgh, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Womens Hospital Of Southern Indiana Llc | 4183699432 | 33 |
Entity Name | Norton - Kings Daughters Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
Entity Name | Deaconess Womens Hospital Of Southern Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245272921 PECOS PAC ID: 4183699432 Enrollment ID: O20050325000731 |
Entity Name | Apollo Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396179461 PECOS PAC ID: 3072741370 Enrollment ID: O20140113001443 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Patrick Rudolph, DO Po Box 9168, Minneapolis, MN 55480-9168 Ph: (866) 825-8303 | Dr Michael Patrick Rudolph, DO 305 S State St, Aberdeen, SD 57401-4527 Ph: (605) 622-2142 |
Ms. Susan W Ramig, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 905 N 3rd St, Aberdeen, SD 57401 Phone: 605-226-2108 Fax: 605-226-3937 | |
Mr. Fred S Landes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3015 3rd Ave Se, Aberdeen, SD 57401 Phone: 605-725-1700 Fax: 605-725-1761 | |
Dr. John S. Vassar, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5127 | |
Dr. Jeanelle Denise Brown, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5127 | |
Christian Andrew Eby, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3015 3rd Ave Se, Aberdeen, SD 57401 Phone: 605-725-1700 | |
Mr. Martin G Vick, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57402 Phone: 605-622-2818 Fax: 605-622-5041 |