Ms Andrea Christine Rudolph, RN, MSN, ACNP in Los Angeles, CA

Ms Andrea Christine Rudolph, RN, MSN, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Memorial Health System and her current practice location is 100 Ucla Medical Plz, Suite 760, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 264-7246.

Ms Andrea Christine Rudolph is licensed to practice in California (license number 13834) 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 1811109986.

Contact Information

	Ms Andrea Christine Rudolph, RN, MSN, ACNP
	100 Ucla Medical Plz, Suite 760, Los Angeles, CA 90095-0001
	(310) 264-7246
	(310) 882-7005

Map and Direction

Provider's Profile

Full Name	Ms Andrea Christine Rudolph
Gender	Female
Speciality	Nurse Practitioner
Experience	23 Years
Location	100 Ucla Medical Plz, Los Angeles, California
Accepts Medicare Assignments	Yes. 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 Andrea Christine Rudolph graduated from nursing school in 2001

NPI Data:

NPI Number: 1811109986
Provider Enumeration Date: 05/03/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8527127752
Enrollment ID: I20151102002865

Medical Identifiers

Medical identifiers for Ms Andrea Christine Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811109986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	13834 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Memorial Hospital San Buenaventura	Ventura, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Memorial Health System	9537155676	164

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. Ms Andrea Christine Rudolph allows following entities to bill medicare on her behalf.

Entity Name	County Of Ventura
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587

Entity Name	Community Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668

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 Andrea Christine 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
Ms Andrea Christine Rudolph, RN, MSN, ACNP 11663 Gorham Ave, Apt. #8, Los Angeles, CA 90049-4749 Ph: (310) 207-6989	Ms Andrea Christine Rudolph, RN, MSN, ACNP 100 Ucla Medical Plz, Suite 760, Los Angeles, CA 90095-0001 Ph: (310) 264-7246

Reviews and Comments

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Ms Andrea Christine Rudolph, RN, MSN, ACNP - Medicare Nurse Practitioner in Los Angeles, CA