Rudolph B Rustin Iii, MD - Medicare General Surgery in Charlottesville, VA

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Rudolph B Rustin Iii, MD is a medicare enrolled "Surgery" physician in Charlottesville, Virginia. He went to Medical University Of South Carolina College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Surgical Affiliates Of California, Acute Care Surgery Medical Group Inc, Acute Care Surgery Medical Group Inc and his current practice location is 1300 Jefferson Park Ave, 4th Floor, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 982-4411.

Rudolph B Rustin Iii is licensed to practice in Virginia (license number 0101258483) 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 1679548614.

Contact Information

Rudolph B Rustin Iii, MD
1300 Jefferson Park Ave, 4th Floor,
Charlottesville, VA 22903-3363
(434) 982-4411
(434) 924-2260

Map and Direction




Physician's Profile

Full NameRudolph B Rustin Iii
GenderMale
SpecialityGeneral Surgery
Experience41 Years
Location1300 Jefferson Park Ave, Charlottesville, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rudolph B Rustin Iii attended and graduated from Medical University Of South Carolina College Of Medicine in 1983
  NPI Data:
  • NPI Number: 1679548614
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 09/09/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4981663440
  • Enrollment ID: I20200428002278

Medical Identifiers

Medical identifiers for Rudolph B Rustin Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679548614NPI-NPPES
1679548614MedicaidVA
143026MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 14302 (South Carolina)Secondary
208C00000XColon & Rectal Surgery 14302 (South Carolina)Secondary
208600000XSurgery 0101258483 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ty Cobb Regional Medical Center, LlcLavonia, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Surgical Affiliates Of California337578266710
Acute Care Surgery Medical Group Inc7214006816138
Acute Care Surgery Medical Group Inc7214006816138

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. Rudolph B Rustin Iii allows following entities to bill medicare on his behalf.
Entity NameHamilton Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528056066
PECOS PAC ID: 0446151179
Enrollment ID: O20040116000053
Entity NameNorthside Primary Care Professional Services,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922397553
PECOS PAC ID: 9638343924
Enrollment ID: O20111123000206
Entity NameSound Physicians Intensivists Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376159590
PECOS PAC ID: 5193138634
Enrollment ID: O20201230001915
Entity NameAcute Care Surgery Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700069549
PECOS PAC ID: 7214006816
Enrollment ID: O20221228000474
Entity NameSurgical Affiliates Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932440781
PECOS PAC ID: 3375782667
Enrollment ID: O20230712000843

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. Rudolph B Rustin Iii 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
Rudolph B Rustin Iii, MD
Po Box 9007,
Charlottesville, VA 22906-9007

Ph: () -		Rudolph B Rustin Iii, MD
1300 Jefferson Park Ave, 4th Floor,
Charlottesville, VA 22903-3363

Ph: (434) 982-4411

Reviews and Comments


Surgery Doctors in Charlottesville, VA

Maneesh Koneru,
Surgery
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-2150    
Melinda L Bowles-childress, ACNP
Surgery
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-3627    Fax: 434-243-9433
Yazan Abu Orabi Al-adwan, MD
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Practice Location: 1300 Jefferson Park Ave, Charlottesville, VA 22903
Phone: 800-543-8814    Fax: 434-924-5539
Alex Judd,
Surgery
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St Box 800719, Charlottesville, VA 22908
Phone: 434-924-2150    
Mrs. Lauren Amber Huck, ACNPC-AG, RN
Surgery
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-982-0301    
Bradley M. Rodgers, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: Uva Hospital W, Hospital Drive, Charlottesville, VA 22908
Phone: 434-924-2673    Fax: 434-924-2656
Michael D. Trahan, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 500 Martha Jefferson Drive, 5th Floor, Charlottesville, VA 22911
Phone: 434-654-5260    Fax: 434-654-5262

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.