Mrs Dawn Lee Rudolph, OTR/L in Jacksonville, FL - Medicare Occupational Therapy Provider

Mrs Dawn Lee Rudolph, OTR/L is a medicare enrolled "Occupational Therapist - Gerontology" provider in Jacksonville, Florida. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Revive Rehab Inc and her current practice location is 4745 Sutton Park Ct Ste 403, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 371-4649.

Mrs Dawn Lee Rudolph is licensed to practice in Florida (license number OT9361) 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 1437769478.

Contact Information

	Mrs Dawn Lee Rudolph, OTR/L
	4745 Sutton Park Ct Ste 403, Jacksonville, FL 32224-0255
	(904) 371-4649
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Dawn Lee Rudolph
Gender	Female
Speciality	Occupational Therapy
Experience	25 Years
Location	4745 Sutton Park Ct Ste 403, Jacksonville, Florida
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:

Mrs Dawn Lee Rudolph graduated from medical school in 1999

NPI Data:

NPI Number: 1437769478
Provider Enumeration Date: 08/04/2020
Last Update Date: 08/04/2020

Medicare PECOS Information:

PECOS PAC ID: 4789009671
Enrollment ID: I20200810001866

Medical Identifiers

Medical identifiers for Mrs Dawn Lee Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437769478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XG0600X	Occupational Therapist - Gerontology	OT9361 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revive Rehab Inc	8527197441	6

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 Dawn Lee Rudolph allows following entities to bill medicare on her behalf.

Provider Name	Revive Rehab Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962734210 PECOS PAC ID: 8527197441 Enrollment ID: O20100602000164

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 Dawn Lee 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
Mrs Dawn Lee Rudolph, OTR/L 896 Marshside Ct, Jacksonville Beach, FL 32250-2696 Ph: () -	Mrs Dawn Lee Rudolph, OTR/L 4745 Sutton Park Ct Ste 403, Jacksonville, FL 32224-0255 Ph: (904) 371-4649

Reviews and Comments

Occupational Therapist in Jacksonville, FL

Mrs. Laurie A. Cecil, OTD, OTR/L, DRP Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1536 N Jefferson St, Jacksonville, FL 32209 Phone: 904-475-5800
Desiree Amelia Duke, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13505 Citicards Way Unit 4117, Jacksonville, FL 32258 Phone: 904-415-2581
Rebecca Jewell Wright, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223 Phone: 322-890-4886
Corine Grace Umali, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11401 Old Saint Augustine Rd # 32258, Jacksonville, FL 32258 Phone: 904-260-1818
Natalie Jane Thomas, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Mr. Robert Stephen Woodward, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4828 Scotch Pine Ct, Jacksonville, FL 32210 Phone: 904-317-6064
Kyla Kimberly Sharrah, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9141 Cypress Green Dr Ste 2, Jacksonville, FL 32256 Phone: 904-647-1849

Mrs Dawn Lee Rudolph, OTR/L - Medicare Occupational Therapist in Jacksonville, FL