Mrs Teresa Michelle Rudd, MSN, RN, AGACNP is a medicare enrolled "Physical Medicine & Rehabilitation" in San Antonio, Texas. Her current practice location is
1502 Howard St, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 737-5100.
Mrs Teresa Michelle Rudd is licensed to practice in Texas (license number AP132548) 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 1154863082.
Provider's Profile
| Full Name | Mrs Teresa Michelle Rudd |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1502 Howard St, San Antonio, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154863082
- Provider Enumeration Date: 11/09/2016
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123309911
- Enrollment ID: I20170110002910
Medical Identifiers
Medical identifiers for Mrs Teresa Michelle Rudd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154863082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | AP132548 (Texas) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | AP132548 (Texas) | 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. Mrs Teresa Michelle Rudd allows following entities to bill medicare on her behalf.
| Entity Name | Tlrfio2 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467285189
PECOS PAC ID: 9335670546
Enrollment ID: O20240930000177 |
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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. Mrs Teresa Michelle Rudd 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 |
|---|
Mrs Teresa Michelle Rudd, MSN, RN, AGACNP
1502 Howard St,
San Antonio, TX 78212-3444
Ph: (210) 737-5100 | Mrs Teresa Michelle Rudd, MSN, RN, AGACNP
1502 Howard St,
San Antonio, TX 78212-3444
Ph: (210) 737-5100 |
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