Dr W Shelby Rutledge, MD is a
Family Medicine physician based in Ash Fork, Arizona. Dr W Shelby Rutledge is licensed to practice in Arizona (license number 19436) and his current practice location is 112 Park Avenue, Ash Fork, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 637-2305.
NPI number for Dr W Shelby Rutledge is 1780637066 and his current mailing address is Po Box 3630, North Country Health Care, Flagstaff, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780637066.
Physician's Profile
Full Name | Dr W Shelby Rutledge |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 112 Park Avenue, Ash Fork, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780637066
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 10/22/2013
Medical Identifiers
Medical identifiers for Dr W Shelby Rutledge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780637066 | NPI | - | NPPES |
109290 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 19436 (Arizona) | 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 W Shelby Rutledge 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 W Shelby Rutledge, MD Po Box 3630, North Country Health Care, Flagstaff, AZ 86003-3630 Ph: (928) 213-6121 | Dr W Shelby Rutledge, MD 112 Park Avenue, Ash Fork, AZ 86320-5300 Ph: (928) 637-2305 |
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