Sylvie C Rudolf, MD - Medicare Family Medicine in Lebanon, NH

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Sylvie C Rudolf, MD is a medicare enrolled "Family Medicine" physician in Lebanon, New Hampshire. Her current practice location is 10 Alice Peck Day Dr, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 448-3121.

Sylvie C Rudolf is licensed to practice in New Hampshire (license number 7554) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942272612.

Contact Information

Sylvie C Rudolf, MD
10 Alice Peck Day Dr,
Lebanon, NH 03766-2694
(603) 448-3121
(603) 448-7462

Map and Direction




Physician's Profile

Full NameSylvie C Rudolf
GenderFemale
SpecialityFamily Medicine
Location10 Alice Peck Day Dr, Lebanon, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942272612
  • Provider Enumeration Date: 02/06/2006
  • Last Update Date: 04/08/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0143215418
  • Enrollment ID: I20040416000512

Medical Identifiers

Medical identifiers for Sylvie C Rudolf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942272612NPI-NPPES
OVN2226MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0420008053 (Vermont)Secondary
207Q00000XFamily Medicine 7554 (New Hampshire)Primary

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. Sylvie C Rudolf allows following entities to bill medicare on her behalf.
Entity NameAlice Peck Day Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803495
PECOS PAC ID: 6103737531
Enrollment ID: O20040927000296
Entity NameAlice Peck Day Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1003803495
PECOS PAC ID: 6103737531
Enrollment ID: O20061104000184

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. Sylvie C Rudolf 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
Sylvie C Rudolf, MD
10 Alice Peck Day Dr,
Lebanon, NH 03766-2694

Ph: (603) 448-3121		Sylvie C Rudolf, MD
10 Alice Peck Day Dr,
Lebanon, NH 03766-2694

Ph: (603) 448-3121

Reviews and Comments


Family Medicine Doctors in Lebanon, NH

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Dr. Deborah A Glazer, M.D.
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Dr. Paul Nicholas Vanloan, MD
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Phone: 603-448-3121    Fax: 603-443-9501
Daniel Odonnell, M.D.
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Leah G Matthew, MD
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Dr. Annika Meith Brown, M.D.
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Practice Location: 18 Old Etna Rd, Lebanon, NH 03766
Phone: 603-650-4000    

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.