Rudrick Villoso Ledesma, MD in Tyler, TX

Rudrick Villoso Ledesma, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Tyler, Texas. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Etmc Physician Group, Inc., Tyler Nephrology Associates Pa and his current practice location is 1133 Medical Dr, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 595-5486.

Rudrick Villoso Ledesma is licensed to practice in Texas (license number Q7224) 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 1306125836.

Contact Information

	Rudrick Villoso Ledesma, MD
	1133 Medical Dr, Tyler, TX 75701-2130
	(903) 595-5486
	(903) 595-5128

Map and Direction

Physician's Profile

Full Name	Rudrick Villoso Ledesma
Gender	Male
Speciality	Nephrology
Experience	16 Years
Location	1133 Medical Dr, Tyler, Texas
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:

Rudrick Villoso Ledesma graduated from medical school in 2008

NPI Data:

NPI Number: 1306125836
Provider Enumeration Date: 08/15/2011
Last Update Date: 04/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2668764820
Enrollment ID: I20160707002403

Medical Identifiers

Medical identifiers for Rudrick Villoso Ledesma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306125836	NPI	-	NPPES
360894501	Medicaid	TX
200653260A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	33999 (Oklahoma)	Secondary
207RN0300X	Internal Medicine - Nephrology	Q7224 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jacksonville Dialysis Center	Jacksonville, TX	Dialysis facility
Renal Care Group - Gilmer	Gilmer, TX	Dialysis facility
Christus Mother Frances Hospital	Tyler, TX	Hospital
Ut Health East Texas Tyler Regional Hospital	Tyler, TX	Hospital
Ut Health East Texas Jacksonville Hospital	Jacksonville, TX	Hospital
Ut Health East Texas Athens Hospital	Athens, TX	Hospital
Ut Health East Texas Pittsburg Hospital	Pittsburg, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Etmc Physician Group, Inc.	4486915600	278
Tyler Nephrology Associates Pa	6901862242	24

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. Rudrick Villoso Ledesma allows following entities to bill medicare on his behalf.

Entity Name	Tyler Nephrology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942360326 PECOS PAC ID: 6901862242 Enrollment ID: O20041208000236

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Rudrick Villoso Ledesma 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
Rudrick Villoso Ledesma, MD 1133 Medical Dr, Tyler, TX 75701-2130 Ph: (903) 595-5486	Rudrick Villoso Ledesma, MD 1133 Medical Dr, Tyler, TX 75701-2130 Ph: (903) 595-5486

Reviews and Comments

Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Rodolfo Amaro-galvez, MD Nephrology Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7072 Fax: 903-877-5838

Rudrick Villoso Ledesma, MD - Medicare Nephrology in Tyler, TX