Susan Evelyn Rudolph, MD in New Ulm, MN

Susan Evelyn Rudolph, MD is a medicare enrolled "Dermatology" physician in New Ulm, Minnesota. She went to University Of Minnesota Medical School and graduated in 2005 and has 20 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Allina Health System and her current practice location is 1217 8th St N, New Ulm, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 217-5000.

Susan Evelyn Rudolph is licensed to practice in Minnesota (license number 49077) 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 1043244213.

Contact Information

	Susan Evelyn Rudolph, MD
	1217 8th St N, New Ulm, MN 56073
	(507) 217-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Susan Evelyn Rudolph
Gender	Female
Speciality	Dermatology
Experience	20 Years
Location	1217 8th St N, New Ulm, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan Evelyn Rudolph attended and graduated from University Of Minnesota Medical School in 2005

NPI Data:

NPI Number: 1043244213
Provider Enumeration Date: 07/11/2006
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7416023403
Enrollment ID: I20080827000180

Medical Identifiers

Medical identifiers for Susan Evelyn Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043244213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	49077 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
New Ulm Medical Center	New ulm, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101

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. Susan Evelyn Rudolph allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Susan Evelyn Rudolph 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
Susan Evelyn Rudolph, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	Susan Evelyn Rudolph, MD 1217 8th St N, New Ulm, MN 56073 Ph: (507) 217-5000

Susan Evelyn Rudolph, MD - Medicare Dermatology in New Ulm, MN