Lawrence Edwin Rudisill Jr, MD in Greenville, SC

Lawrence Edwin Rudisill Jr, MD is a medicare enrolled "Surgery - Surgery Of The Hand" physician in Greenville, South Carolina. His current practice location is 1011 Frontage Rd, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 242-4263.

Lawrence Edwin Rudisill Jr is licensed to practice in South Carolina (license number 10481) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699725952.

Contact Information

	Lawrence Edwin Rudisill Jr, MD
	1011 Frontage Rd, Greenville, SC 29615-4240
	(864) 242-4263
	(864) 242-2250

Map and Direction

Physician's Profile

Full Name	Lawrence Edwin Rudisill Jr
Gender	Male
Speciality	Surgery - Surgery Of The Hand
Location	1011 Frontage Rd, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699725952
Provider Enumeration Date: 05/10/2006
Last Update Date: 03/24/2022

Medicare PECOS Information:

PECOS PAC ID: 6204865132
Enrollment ID: I20050906000740

Medical Identifiers

Medical identifiers for Lawrence Edwin Rudisill Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699725952	NPI	-	NPPES
104817	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XS0106X	Orthopaedic Surgery - Hand Surgery	10481 (South Carolina)	Secondary
2086S0105X	Surgery - Surgery Of The Hand	MD61280339 (Washington)	Secondary
2086S0105X	Surgery - Surgery Of The Hand	10481 (South Carolina)	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. Lawrence Edwin Rudisill Jr allows following entities to bill medicare on his behalf.

Entity Name	Greenville Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723

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. Lawrence Edwin Rudisill 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
Lawrence Edwin Rudisill Jr, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8617	Lawrence Edwin Rudisill Jr, MD 1011 Frontage Rd, Greenville, SC 29615-4240 Ph: (864) 242-4263

Reviews and Comments

Surgery Doctors in Greenville, SC

John David Scott, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072 Fax: 864-522-2105
Dr. Robert Vincent Madlinger, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-7874
Tiffany Deanna Lance, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Support Tower 3rd Floor, Greenville, SC 29605 Phone: 864-455-1435 Fax: 864-455-1320
Dr. Robert Louis Ricca Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 48 Cross Park Ct, Greenville, SC 29605 Phone: 864-797-7400
Ashley Vaughan, Surgery Medicare: Medicare Enrolled Practice Location: 890 W Faris Rd Ste 310, Greenville, SC 29605 Phone: 864-455-8300 Fax: 864-455-8310
Paola Alexandra Rodriguez Morales, Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-5515
Shanu Nikhil Kothari, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Verdae Blvd Ste 202, Greenville, SC 29607 Phone: 864-676-1072

Lawrence Edwin Rudisill Jr, MD - Medicare Surgery in Greenville, SC