Dr Rudy Theodore Cobb, MD is a
Surgery physician based in Fayetteville, Tennessee. Dr Rudy Theodore Cobb is licensed to practice in Tennessee (license number M0011699) and his current practice location is 305 College St W, Fayetteville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 433-2488.
NPI number for Dr Rudy Theodore Cobb is 1346261989 and his current mailing address is 305 College St W, Fayetteville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346261989.
Physician's Profile
| Full Name | Dr Rudy Theodore Cobb |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 305 College St W, Fayetteville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346261989
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 10/22/2010
Medical Identifiers
Medical identifiers for Dr Rudy Theodore Cobb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346261989 | NPI | - | NPPES |
| 3004292 | Medicaid | TN | |
| 40011699 | Other | TN | UNITEDHEATHCARE |
| 34725 | Other | TN | BCBS OF TN |
| 61195 | Other | TN | BCBS OF AL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | M0011699 (Tennessee) | Primary |
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 Rudy Theodore Cobb is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Rudy Theodore Cobb, MD
305 College St W,
Fayetteville, TN 37334-2911
Ph: (931) 433-2488 | Dr Rudy Theodore Cobb, MD
305 College St W,
Fayetteville, TN 37334-2911
Ph: (931) 433-2488 |
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