Carlyn Dekoning Rudberg, PA-C in Saint Paul, MN

Carlyn Dekoning Rudberg, PA-C is a medicare enrolled "Physician Assistant" in Saint Paul, Minnesota. Her current practice location is 4100 Hamline Ave N, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Carlyn Dekoning Rudberg is licensed to practice in Minnesota (license number 10371) 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 1689853145.

Contact Information

	Carlyn Dekoning Rudberg, PA-C
	4100 Hamline Ave N, Saint Paul, MN 55112-5700
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Carlyn Dekoning Rudberg
Gender	Female
Speciality	Physician Assistant
Location	4100 Hamline Ave N, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689853145
Provider Enumeration Date: 10/31/2007
Last Update Date: 03/14/2020

Medicare PECOS Information:

PECOS PAC ID: 3476633496
Enrollment ID: I20080103000435

Medical Identifiers

Medical identifiers for Carlyn Dekoning Rudberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689853145	NPI	-	NPPES
T760272391313	Other	MN	DRIVER'S LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10371 (Minnesota)	Primary

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. Carlyn Dekoning Rudberg 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
Carlyn Dekoning Rudberg, PA-C 8251 Columbine Rd, Eden Prairie, MN 55344-7610 Ph: (866) 389-2727	Carlyn Dekoning Rudberg, PA-C 4100 Hamline Ave N, Saint Paul, MN 55112-5700 Ph: (866) 389-2727

Reviews and Comments

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Carlyn Dekoning Rudberg, PA-C - Medicare Physician Assistant in Saint Paul, MN