William Garth Rudolph, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Virginia Beach, Virginia. He went to University Of California, San Francisco School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Sentara Medical Group and his current practice location is
1080 First Colonial Rd, Suite 200, Virginia Beach, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 395-6070.
William Garth Rudolph is licensed to practice in Virginia (license number 0101241931) 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 1407917875.
Physician's Profile
| Full Name | William Garth Rudolph |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 29 Years |
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| Location | 1080 First Colonial Rd, Virginia Beach, Virginia |
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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. |
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Medical Education and Training:
- William Garth Rudolph attended and graduated from University Of California, San Francisco School Of Medicine in 1995
NPI Data:
- NPI Number: 1407917875
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547251423
- Enrollment ID: I20070911000526
Medical Identifiers
Medical identifiers for William Garth Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407917875 | NPI | - | NPPES |
| 79622011 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 0101241931 (Virginia) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 0101241931 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sentara Medical Group | 8921903923 | 1091 |
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. William Garth Rudolph allows following entities to bill medicare on his behalf.
| Entity Name | Sentara Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466 |
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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. William Garth 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 |
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William Garth Rudolph, MD
1080 First Colonial Rd, Suite 200,
Virginia Beach, VA 23454-2406
Ph: (757) 395-6070 | William Garth Rudolph, MD
1080 First Colonial Rd, Suite 200,
Virginia Beach, VA 23454-2406
Ph: (757) 395-6070 |
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