Dr Rudolf Iskandar, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Rancho Cordova, California. His current practice location is
11121 Sun Center Dr, #a, Rancho Cordova, California. You can reach out to his office (for appointments etc.) via phone at
(916) 635-3570.
Dr Rudolf Iskandar is licensed to practice in California (license number A67879) 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 1154420669.
Physician's Profile
| Full Name | Dr Rudolf Iskandar |
|---|
| Gender | Male |
|---|
| Speciality | Preventive Medicine - Occupational Medicine |
|---|
| Location | 11121 Sun Center Dr, Rancho Cordova, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1154420669
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 12/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 4587662226
- Enrollment ID: I20061113000492
Medical Identifiers
Medical identifiers for Dr Rudolf Iskandar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154420669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | A67879 (California) | 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 Rudolf Iskandar allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
|---|
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 Rudolf Iskandar 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 Rudolf Iskandar, MD
10470 Old Placerville Rd, Suite 100,
Sacramento, CA 95827-2539
Ph: (800) 470-0071 | Dr Rudolf Iskandar, MD
11121 Sun Center Dr, #a,
Rancho Cordova, CA 95670-6161
Ph: (916) 635-3570 |
Reviews and Comments