Ellie Rudd, is a medicare enrolled "Nurse Practitioner - Family" in Sheridan, Michigan. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sparrow Carson Hospital and her current practice location is
303 Congress St, Sheridan, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 291-5077.
Ellie Rudd is licensed to practice in Michigan (license number 4704302413) 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 1548795909.
Provider's Profile
| Full Name | Ellie Rudd |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 303 Congress St, Sheridan, Michigan |
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| Accepts Medicare Assignments | Yes. She 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:
- Ellie Rudd graduated from nursing school in 2017
NPI Data:
- NPI Number: 1548795909
- Provider Enumeration Date: 04/24/2017
- Last Update Date: 01/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 0648543371
- Enrollment ID: I20170831001953
Medical Identifiers
Medical identifiers for Ellie Rudd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548795909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704302413 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sparrow Carson Hospital | 7113836701 | 42 |
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. Ellie Rudd allows following entities to bill medicare on her behalf.
| Entity Name | Sparrow Carson Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598490542
PECOS PAC ID: 7113836701
Enrollment ID: O20040126000046 |
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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. Ellie Rudd 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 |
|---|
Ellie Rudd,
303 Congress St,
Sheridan, MI 48884-9215
Ph: () - | Ellie Rudd,
303 Congress St,
Sheridan, MI 48884
Ph: (989) 291-5077 |
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