Maia Rutman, MD is a medicare enrolled "Pediatrics" physician in Lebnon, New Hampshire. Her current practice location is
One Medical Center Dr, Dartmouth Hitchcock Med Ctr Emergency Dptmt, Lebnon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 650-7254.
Maia Rutman is licensed to practice in New Hampshire (license number 13562) 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 1508870882.
Physician's Profile
Full Name | Maia Rutman |
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Gender | Female |
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Speciality | Pediatrics |
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Location | One Medical Center Dr, Lebnon, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508870882
- Provider Enumeration Date: 07/29/2006
- Last Update Date: 05/13/2008
Medicare PECOS Information:
- PECOS PAC ID: 2860444924
- Enrollment ID: I20080521000695
Medical Identifiers
Medical identifiers for Maia Rutman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508870882 | NPI | - | NPPES |
7057260 | Medicaid | RI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD11521 (Rhode Island) | Secondary |
208000000X | Pediatrics | 13562 (New Hampshire) | 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. Maia Rutman allows following entities to bill medicare on her behalf.
Entity Name | Elliot Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285627935 PECOS PAC ID: 6103727920 Enrollment ID: O20040115000634 |
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Entity Name | Dartmouth-hitchcock Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
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Entity Name | Alice Peck Day Memorial Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1003803495 PECOS PAC ID: 6103737531 Enrollment ID: O20061104000184 |
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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. Maia Rutman 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 |
Maia Rutman, MD One Medical Center Drive, Dartmouth Hitchcock Med Ctr Department Of Pediatrics, Lebanon, NH 03756-0001 Ph: (603) 650-7254 | Maia Rutman, MD One Medical Center Dr, Dartmouth Hitchcock Med Ctr Emergency Dptmt, Lebnon, NH 03756-0001 Ph: (603) 650-7254 |
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