Kathryn M Rudman, MD is a medicare enrolled "Pediatrics" physician in West Yarmouth, Massachusetts. Her current practice location is
150 Ansel Hallet Rd, West Yarmouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 771-8350.
Kathryn M Rudman is licensed to practice in Massachusetts (license number 158388) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497718035.
Physician's Profile
| Full Name | Kathryn M Rudman |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 150 Ansel Hallet Rd, West Yarmouth, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497718035
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 04/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 0345228771
- Enrollment ID: I20040712000525
Medical Identifiers
Medical identifiers for Kathryn M Rudman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497718035 | NPI | - | NPPES |
| J21057 | Other | MA | BCBS |
| 3196631 | Medicaid | MA | |
| 202098 | Other | MA | HPHC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 158388 (Massachusetts) | 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. Kathryn M Rudman allows following entities to bill medicare on her behalf.
| Entity Name | Medical Affiliates Of Cape Cod Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770534927
PECOS PAC ID: 3577471564
Enrollment ID: O20040510001010 |
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| Entity Name | Physicians Of Cape Cod Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679832364
PECOS PAC ID: 9638326671
Enrollment ID: O20120828000193 |
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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. Kathryn M Rudman 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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Kathryn M Rudman, MD
25 Communications Way, Macc - Revenue Cycle,
Hyannis, MA 02601-1866
Ph: (508) 957-8664 | Kathryn M Rudman, MD
150 Ansel Hallet Rd,
West Yarmouth, MA 02673
Ph: (508) 771-8350 |
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