Olga Rudomiotov, MD - Medicare Internal Medicine in Saint Louis, MO

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Olga Rudomiotov, MD is a medicare enrolled "Internal Medicine" physician in Saint Louis, Missouri. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Southeastern Physician Services Pc and her current practice location is 11133 Dunn Rd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 317-0600.

Olga Rudomiotov is licensed to practice in Missouri (license number 2008014379) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497965990.

Contact Information

Olga Rudomiotov, MD
11133 Dunn Rd,
Saint Louis, MO 63136-6119
(314) 317-0600
(314) 317-0606

Map and Direction




Physician's Profile

Full NameOlga Rudomiotov
GenderFemale
SpecialityInternal Medicine
Experience19 Years
Location11133 Dunn Rd, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Olga Rudomiotov attended and graduated from University Of Missouri, Columbia School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1497965990
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 06/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8628141058
  • Enrollment ID: I20080718000192

Medical Identifiers

Medical identifiers for Olga Rudomiotov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497965990NPI-NPPES
1497965990MedicaidMO
1497965990MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 2008014379 (Missouri)Secondary
207R00000XInternal Medicine 2008014379 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bjc HospiceSaint louis, MOHospice
Christian Hospital NortheastSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852499

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. Olga Rudomiotov allows following entities to bill medicare on her behalf.
Entity NamePhysician Groups Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285664268
PECOS PAC ID: 3072421254
Enrollment ID: O20040220001157
Entity NameCogent Healthcare Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780961599
PECOS PAC ID: 5597925099
Enrollment ID: O20120320000863
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160809000235
Entity NameIpc Pac Healthcare Services Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326497587
PECOS PAC ID: 4587950589
Enrollment ID: O20160830002898
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20170519000666
Entity NameHospitalist Medicine Physicians Of Missouri - Bridgeton, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275012452
PECOS PAC ID: 2567713571
Enrollment ID: O20181001001537
Entity NameGalen Inpatient Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538714688
PECOS PAC ID: 3678464633
Enrollment ID: O20191115000362

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. Olga Rudomiotov 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 AddressPractice Location Address
Olga Rudomiotov, MD
12101 Woodcrest Executive Dr, Suite 210,
Saint Louis, MO 63141-5047

Ph: (314) 317-0600		Olga Rudomiotov, MD
11133 Dunn Rd,
Saint Louis, MO 63136-6119

Ph: (314) 317-0600

Reviews and Comments


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Nathan Farkas, M.D.
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Dr. Randy Olivier Laine, MD
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Dr. Erin Leigh Dyer, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.