Mr Rudolph Wesley Shakes, FNP - Medicare Nurse Practitioner in New York, NY

Mr Rudolph Wesley Shakes, FNP is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. His current practice location is Health Service At Columbia, 519 West 114th Street, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 854-9842.

Mr Rudolph Wesley Shakes is licensed to practice in New York (license number F330610-1) 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 1588706220.

Contact Information

Mr Rudolph Wesley Shakes, FNP
Health Service At Columbia, 519 West 114th Street,
New York, NY 10027
(212) 854-9842
(212) 854-9851

Map and Direction




Provider's Profile

Full NameMr Rudolph Wesley Shakes
GenderMale
SpecialityNurse Practitioner - Family
LocationHealth Service At Columbia, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588706220
  • Provider Enumeration Date: 02/12/2007
  • Last Update Date: 02/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2365748530
  • Enrollment ID: I20160315000396

Medical Identifiers

Medical identifiers for Mr Rudolph Wesley Shakes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588706220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F330610-1 (New York)Primary

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. Mr Rudolph Wesley Shakes 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
Mr Rudolph Wesley Shakes, FNP
Elmhurst Hospital Center, 7901 Broadway, Rm. D6-4,
Elmhurst, NY 11373-1329

Ph: (718) 334-4000
Mr Rudolph Wesley Shakes, FNP
Health Service At Columbia, 519 West 114th Street,
New York, NY 10027

Ph: (212) 854-9842

Reviews and Comments


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