Dr Rudolph Joseph Triana Jr, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Mayfield, Kentucky. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Pinelake Physician Practice Llc and his current practice location is
1111 Medical Center Cir, Mayfield, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 251-4080.
Dr Rudolph Joseph Triana Jr is licensed to practice in Kentucky (license number 36944) 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 1811959661.
Physician's Profile
| Full Name | Dr Rudolph Joseph Triana Jr |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 35 Years |
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| Location | 1111 Medical Center Cir, Mayfield, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Rudolph Joseph Triana Jr attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1989
NPI Data:
- NPI Number: 1811959661
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 09/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 4880625573
- Enrollment ID: I20100719000878
Medical Identifiers
Medical identifiers for Dr Rudolph Joseph Triana Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811959661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YS0123X | Otolaryngology - Facial Plastic Surgery | ME92477 (Florida) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 36944 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pinelake Physician Practice Llc | 6800797507 | 34 |
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 Rudolph Joseph Triana Jr allows following entities to bill medicare on his behalf.
| Entity Name | Pinelake Physician Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295960532
PECOS PAC ID: 6800797507
Enrollment ID: O20040115001094 |
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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 Rudolph Joseph Triana Jr 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 |
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Dr Rudolph Joseph Triana Jr, MD
1111 Medical Center Cir,
Mayfield, KY 42066-1194
Ph: (270) 251-4080 | Dr Rudolph Joseph Triana Jr, MD
1111 Medical Center Cir,
Mayfield, KY 42066-1194
Ph: (270) 251-4080 |
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