Tiara Dolores Rudzinski, AG-CNS BC - Medicare Clinical Nurse Specialist in Hudsonville, MI

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Tiara Dolores Rudzinski, AG-CNS BC is a medicare enrolled "Clinical Nurse Specialist" in Hudsonville, Michigan. Her current practice location is 3650 Van Buren St, Hudsonville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 669-1520.

Tiara Dolores Rudzinski is licensed to practice in Michigan (license number 4704345043) 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 1346078052.

Contact Information

Tiara Dolores Rudzinski, AG-CNS BC
3650 Van Buren St,
Hudsonville, MI 49426-1097
(616) 669-1520
Not Available

Map and Direction




Provider's Profile

Full NameTiara Dolores Rudzinski
GenderFemale
SpecialityClinical Nurse Specialist
Location3650 Van Buren St, Hudsonville, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346078052
  • Provider Enumeration Date: 07/24/2024
  • Last Update Date: 08/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8325574874
  • Enrollment ID: I20241209000794

Medical Identifiers

Medical identifiers for Tiara Dolores Rudzinski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346078052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364S00000XClinical Nurse Specialist 4704345043 (Michigan)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. Tiara Dolores Rudzinski allows following entities to bill medicare on her behalf.
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127

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. Tiara Dolores Rudzinski 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
Tiara Dolores Rudzinski, AG-CNS BC
1355 Bristol Ave Nw,
Grand Rapids, MI 49504-2902

Ph: (219) 477-8854		Tiara Dolores Rudzinski, AG-CNS BC
3650 Van Buren St,
Hudsonville, MI 49426-1097

Ph: (616) 669-1520

Reviews and Comments


Clinical Nurse Specialist Nurses in Hudsonville, MI


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.