Mary M Rudolph, NP in Menlo Park, CA - Medicare Nurse Practitioner

Mary M Rudolph, NP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Menlo Park, California. Her current practice location is 321 Middlefield Rd, Menlo Park, California. You can reach out to her office (for appointments etc.) via phone at (650) 498-6623.

Mary M Rudolph is licensed to practice in California (license number NP572) 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 1588628218.

Contact Information

	Mary M Rudolph, NP
	321 Middlefield Rd, Menlo Park, CA 94025-3500
	(650) 498-6623
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary M Rudolph
Gender	Female
Speciality	Nurse Practitioner - Obstetrics & Gynecology
Location	321 Middlefield Rd, Menlo Park, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588628218
Provider Enumeration Date: 04/12/2006
Last Update Date: 12/20/2011

Medicare PECOS Information:

PECOS PAC ID: 0446203475
Enrollment ID: I20050301001023

Medical Identifiers

Medical identifiers for Mary M Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588628218	NPI	-	NPPES
MMM00087M	Other		NHIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	NP572 (California)	Primary

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. Mary M Rudolph allows following entities to bill medicare on her behalf.

Entity Name	University Healthcare Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760531198 PECOS PAC ID: 6305748799 Enrollment ID: O20040126000292

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. Mary M 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
Mary M Rudolph, NP Po Box 60000, File #72484, San Francisco, CA 94160-0001 Ph: () -	Mary M Rudolph, NP 321 Middlefield Rd, Menlo Park, CA 94025-3500 Ph: (650) 498-6623

Reviews and Comments

Nurse Practitioner Nurses in Menlo Park, CA

Ms. Rebecca Mcconnaughy, MSN, RN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd, Building 360, H-216, Menlo Park, CA 94025 Phone: 650-493-5000 Fax: 650-614-9970
Mrs. Bobbi Sue Holder, W.H.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 University Dr Ste 8, Menlo Park, CA 94025 Phone: 313-870-7799
Ms. Vivian Chan, MS, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd, Menlo Park, CA 94025 Phone: 650-493-5000
Diane Melissa Criscuolo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321 Middlefield Rd Ste 225, Menlo Park, CA 94025 Phone: 650-724-5338
Ms. Laurie R. Berg, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd, Building 347-a, Menlo Park, CA 94025 Phone: 650-493-5000
Mrs. Virginia Victoria Mills, RN,PHN,NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd # 332, Menlo Park, CA 94025 Phone: 650-578-7195 Fax: 650-324-4149
Leslie Rebecca Abrams, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 299 Oakhurst Pl, Menlo Park, CA 94025 Phone: 650-380-8547

Mary M Rudolph, NP - Medicare Nurse Practitioner in Menlo Park, CA