Glen H Rudolph, MD in Duluth, MN - Medicare Orthopedic Surgery

Glen H Rudolph, MD is a medicare enrolled "Orthopaedic Surgery" physician in Duluth, Minnesota. He went to University Of Minnesota Medical School and graduated in 2006 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthopedic Associates Of Duluth Pa, International Falls Memorial Hospital Association, Range Regional Health Services, Grand Itasca Clinic And Hospital and his current practice location is 1000 E 1st St Ste 404, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 722-5513.

Glen H Rudolph is licensed to practice in Minnesota (license number 50713) 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 1124258223.

Contact Information

	Glen H Rudolph, MD
	1000 E 1st St Ste 404, Duluth, MN 55805-2297
	(218) 722-5513
	(218) 722-6515

Map and Direction

Physician's Profile

Full Name	Glen H Rudolph
Gender	Male
Speciality	Orthopedic Surgery
Experience	18 Years
Location	1000 E 1st St Ste 404, Duluth, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Glen H Rudolph attended and graduated from University Of Minnesota Medical School in 2006

NPI Data:

NPI Number: 1124258223
Provider Enumeration Date: 07/23/2009
Last Update Date: 03/12/2019

Medicare PECOS Information:

PECOS PAC ID: 5092964445
Enrollment ID: I20190207000534

Medical Identifiers

Medical identifiers for Glen H Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124258223	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	50713 (Minnesota)	Primary
207X00000X	Orthopaedic Surgery	55776 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grand Itasca Clinic And Hospital	Grand rapids, MN	Hospital
Rainy Lake Medical Center	International falls, MN	Hospital
St Lukes Hospital	Duluth, MN	Hospital
University Medical Center-mesabi/ Mesaba Clinics	Hibbing, MN	Hospital
Essentia Health Virginia	Virginia, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic Associates Of Duluth Pa	1951294065	33
International Falls Memorial Hospital Association	1951365998	17
Range Regional Health Services	8022920024	130
Grand Itasca Clinic And Hospital	8123939550	115

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. Glen H Rudolph allows following entities to bill medicare on his behalf.

Entity Name	Grand Itasca Clinic And Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209

Entity Name	Range Regional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095

Entity Name	International Falls Memorial Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528041183 PECOS PAC ID: 1951365998 Enrollment ID: O20041118000626

Entity Name	International Falls Memorial Hospital Association
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1528041183 PECOS PAC ID: 1951365998 Enrollment ID: O20061104000465

Entity Name	Orthopedic Associates Of Duluth Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225033715 PECOS PAC ID: 1951294065 Enrollment ID: O20140617000407

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. Glen H Rudolph 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
Glen H Rudolph, MD 1000 E 1st St Ste 404, Duluth, MN 55805-2297 Ph: (218) 722-5513	Glen H Rudolph, MD 1000 E 1st St Ste 404, Duluth, MN 55805-2297 Ph: (218) 722-5513

Reviews and Comments

Orthopaedic Surgery Doctors in Duluth, MN

Dr. Joel A Zamzow, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E 1st St, Ste 400, Duluth, MN 55805 Phone: 218-722-5513 Fax: 218-722-6515
Samuel C. Hoxie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 East 3rd Street, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-3520
Kathryn Elizabeth Huff, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000
William R Lundberg, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1012 E 2nd St Bldg A4th, Duluth, MN 55805 Phone: 218-249-6365 Fax: 218-249-6370
Thomas George Patnoe, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364
Anne Nicole Normand, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-5874

Glen H Rudolph, MD - Medicare Orthopedic Surgery in Duluth, MN