Ms Mary Rudloff, PA-C - Medicare Physician Assistant in Fredonia, NY

Ms Mary Rudloff, PA-C is a medicare enrolled "Physician Assistant" in Fredonia, New York. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 1986 and has 38 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Great Lakes Physician Practice Pc and her current practice location is 12 Center St, Suite 1, Fredonia, New York. You can reach out to her office (for appointments etc.) via phone at (716) 679-2233.

Ms Mary Rudloff is licensed to practice in New York (license number 005154) 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 1407841356.

Contact Information

Ms Mary Rudloff, PA-C
12 Center St, Suite 1,
Fredonia, NY 14063-1769
(716) 679-2233
(716) 679-9698

Map and Direction




Provider's Profile

Full NameMs Mary Rudloff
GenderFemale
SpecialityPhysician Assistant
Experience38 Years
Location12 Center St, Fredonia, 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:
  • Ms Mary Rudloff attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 1986
  NPI Data:
  • NPI Number: 1407841356
  • Provider Enumeration Date: 09/16/2005
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002000924
  • Enrollment ID: I20101104000243

Medical Identifiers

Medical identifiers for Ms Mary Rudloff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407841356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 005154 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Brooks-tlc Hospital System, IncDunkirk, NYHospital
Upmc Chautauqua At WcaJamestown, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Great Lakes Physician Practice Pc6709007701127

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. Ms Mary Rudloff 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
Ms Mary Rudloff, PA-C
33 N Main St, Suite 1,
Cassadaga, NY 14718-9600

Ph: () -
Ms Mary Rudloff, PA-C
12 Center St, Suite 1,
Fredonia, NY 14063-1769

Ph: (716) 679-2233

Reviews and Comments


Physician Assistant Nurses in Fredonia, NY

Melissa Ann Harp, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 12 Center St, Suite 1, Fredonia, NY 14063
Phone: 716-679-2233    Fax: 716-679-9698
Jennifer Neuffer Askar, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 280 Central Ave, Fredonia, NY 14063
Phone: 716-673-3131    
Sarah Quinlivan Bartholomew, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12 Center St, Suite 1, Fredonia, NY 14063
Phone: 716-934-3641    Fax: 716-934-7443
Dawn Marie Buczkowski, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 12 Center St, Suite 1, Fredonia, NY 14063
Phone: 716-679-2233    Fax: 716-679-9698

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.