Lisa Rudolph, DNP, AGNP-BC - Medicare Nurse Practitioner in New York, NY

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Lisa Rudolph, DNP, AGNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in New York, New York. She went to State University Of New York At Buffalo School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mjhs Medical Associates Pc and her current practice location is 55 Water St Fl 46, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 649-5555.

Lisa Rudolph is licensed to practice in New York (license number F307978-1) 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 1487105714.

Contact Information

Lisa Rudolph, DNP, AGNP-BC
55 Water St Fl 46,
New York, NY 10041-3211
(212) 649-5555
Not Available

Map and Direction




Provider's Profile

Full NameLisa Rudolph
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location55 Water St Fl 46, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Rudolph attended and graduated from State University Of New York At Buffalo School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1487105714
  • Provider Enumeration Date: 10/21/2016
  • Last Update Date: 07/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971882036
  • Enrollment ID: I20161111001148

Medical Identifiers

Medical identifiers for Lisa Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487105714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F307978-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mjhs Medical Associates Pc83252190094

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. Lisa Rudolph allows following entities to bill medicare on her behalf.
Entity NameMjhs Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013208602
PECOS PAC ID: 8325219009
Enrollment ID: O20110929000498
Entity NameCarelon Medical Partners, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124443403
PECOS PAC ID: 9931332111
Enrollment ID: O20160521000037

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. Lisa 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 AddressPractice Location Address
Lisa Rudolph, DNP, AGNP-BC
81 Hyatt Ave,
Yonkers, NY 10704-4314

Ph: (716) 697-8342		Lisa Rudolph, DNP, AGNP-BC
55 Water St Fl 46,
New York, NY 10041-3211

Ph: (212) 649-5555

Reviews and Comments


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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).

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