Raul D Rudelli, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in West New York, New Jersey. He graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Dimitri N Kessaris Mdpc and his current practice location is
230 60th St, West New York, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(347) 996-9422.
Raul D Rudelli is licensed to practice in New York (license number 143179) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124049671.
Physician's Profile
Full Name | Raul D Rudelli |
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Gender | Male |
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Speciality | Pathology |
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Experience | 54 Years |
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Location | 230 60th St, West New York, New Jersey |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Raul D Rudelli graduated from medical school in 1970
NPI Data:
- NPI Number: 1124049671
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 02/09/2011
Medicare PECOS Information:
- PECOS PAC ID: 5698761070
- Enrollment ID: I20090325000115
Medical Identifiers
Medical identifiers for Raul D Rudelli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124049671 | NPI | - | NPPES |
6404405 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MA39697 (New Jersey) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 143179 (New York) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dimitri N Kessaris Mdpc | 5799782587 | 13 |
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. Raul D Rudelli allows following entities to bill medicare on his behalf.
Entity Name | Babylon Medical Practice, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811967805 PECOS PAC ID: 4789598053 Enrollment ID: O20031119000594 |
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Entity Name | Sottile & Megna Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508846296 PECOS PAC ID: 2264323013 Enrollment ID: O20040322001890 |
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Entity Name | Dimitri N Kessaris Mdpc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154430148 PECOS PAC ID: 5799782587 Enrollment ID: O20070223000311 |
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Entity Name | Endo Associates Of Staten Island, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518107283 PECOS PAC ID: 6608933171 Enrollment ID: O20090327000238 |
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Entity Name | Murray Hill Urology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255713541 PECOS PAC ID: 9335454818 Enrollment ID: O20150812007990 |
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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. Raul D Rudelli 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 |
Raul D Rudelli, MD 230 60th St, West New York, NJ 07093-2824 Ph: () - | Raul D Rudelli, MD 230 60th St, West New York, NJ 07093-2824 Ph: (347) 996-9422 |
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