Paul M Rudy, MD | |
110 S Depot St, Annawan, IL 61234-7768 | |
(309) 944-5124 | |
(309) 721-1407 |
Full Name | Paul M Rudy |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 110 S Depot St, Annawan, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093794745 | NPI | - | NPPES |
0360755522 | Medicaid | IL | |
1093794745 | Medicaid | IA | |
080177763 | Other | IL | RR MEDICARE |
036075552 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036075553 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Recover Health Of Wisconsin Inc | Baraboo, WI | Home health agency |
Agrace Hospicecare | Madison, WI | Hospice |
Mile Bluff Medical Center | Mauston, WI | Hospital |
University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
Fair View Nursing And Rehabilitation Center | Mauston, WI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mile Bluff Medical Center Inc | 8527971399 | 72 |
Entity Name | Mile Bluff Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609912005 PECOS PAC ID: 8527971399 Enrollment ID: O20031205000618 |
Mailing Address | Practice Location Address |
---|---|
Paul M Rudy, MD 110 S Depot St, Annawan, IL 61234-7768 Ph: (309) 944-5124 | Paul M Rudy, MD 110 S Depot St, Annawan, IL 61234-7768 Ph: (309) 944-5124 |
Randall L Mullin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 S Depot St, Annawan, IL 61234 Phone: 309-944-5124 Fax: 309-721-1407 |