Dr Rudolph Pavlesich Iii, DNP, CRNA, FNP-BC - Medicare Nurse Anesthetist, Certified Registered in Plymouth, NH

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Dr Rudolph Pavlesich Iii, DNP, CRNA, FNP-BC is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plymouth, New Hampshire. His current practice location is 16 Hospital Rd, Plymouth, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 536-1120.

Dr Rudolph Pavlesich Iii is licensed to practice in New Hampshire (license number 074985-23) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609265065.

Contact Information

Dr Rudolph Pavlesich Iii, DNP, CRNA, FNP-BC
16 Hospital Rd,
Plymouth, NH 03264-1126
(603) 536-1120
Not Available

Map and Direction




Provider's Profile

Full NameDr Rudolph Pavlesich Iii
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location16 Hospital Rd, Plymouth, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609265065
  • Provider Enumeration Date: 01/22/2015
  • Last Update Date: 05/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2062731565
  • Enrollment ID: I20190201002272

Medical Identifiers

Medical identifiers for Dr Rudolph Pavlesich Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609265065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 281215 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered ARNP9178468 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 074985-23 (New Hampshire)Primary
363LF0000XNurse Practitioner - Family 2017019797 (Florida)Secondary

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. Dr Rudolph Pavlesich Iii allows following entities to bill medicare on his behalf.
Entity NameNorth American Partners In Anesthesia New Hampshire Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306838701
PECOS PAC ID: 6901710946
Enrollment ID: O20031114000273
Entity NameLittleton Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144223702
PECOS PAC ID: 6901796556
Enrollment ID: O20040322000785
Entity NameAnesthesia Associates Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881791150
PECOS PAC ID: 3375532435
Enrollment ID: O20040512000620
Entity NameMedstream Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20170817001824

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. Dr Rudolph Pavlesich Iii 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
Dr Rudolph Pavlesich Iii, DNP, CRNA, FNP-BC
89 Stevens Hill Rd,
Nottingham, NH 03290-4802

Ph: (904) 535-1875		Dr Rudolph Pavlesich Iii, DNP, CRNA, FNP-BC
16 Hospital Rd,
Plymouth, NH 03264-1126

Ph: (603) 536-1120

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Plymouth, NH

Mr. Terrance Dean Copsey, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 16 Hospital Rd, Plymouth, NH 03264
Phone: 603-536-1120    
Mary Chau-hanh Pham,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 16 Hospital Rd, Plymouth, NH 03264
Phone: 603-536-1120    
Steven Vincent Ball, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 16 Hospital Rd, Plymouth Anesthesia, Plymouth, NH 03264
Phone: 603-536-1120    Fax: 603-238-6409

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.