Wendy S Rudolph, OD in Springfield, VA - Medicare Optometry Provider

Wendy S Rudolph, OD is a medicare enrolled "Optometrist" provider in Springfield, Virginia. She went to Indiana University - School Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc, Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and her current practice location is 6501 Loisdale Ct, Kaiser Permanente Springfield Medical Center, Springfield, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 922-1000.

Wendy S Rudolph is licensed to practice in Virginia (license number 0618000183) 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 1982912101.

Contact Information

	Wendy S Rudolph, OD
	6501 Loisdale Ct, Kaiser Permanente Springfield Medical Center, Springfield, VA 22150-1826
	(703) 922-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wendy S Rudolph
Gender	Female
Speciality	Optometry
Experience	35 Years
Location	6501 Loisdale Ct, Springfield, Virginia
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:

Wendy S Rudolph attended and graduated from Indiana University - School Of Optometry in 1989

NPI Data:

NPI Number: 1982912101
Provider Enumeration Date: 09/22/2010
Last Update Date: 06/03/2021

Medicare PECOS Information:

PECOS PAC ID: 6709063548
Enrollment ID: I20110606000123

Medical Identifiers

Medical identifiers for Wendy S Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982912101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0618000183 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc	3779495858	1628
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc	3779495858	1628

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. Wendy S Rudolph allows following entities to bill medicare on her behalf.

Provider Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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. Wendy S 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
Wendy S Rudolph, OD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424	Wendy S Rudolph, OD 6501 Loisdale Ct, Kaiser Permanente Springfield Medical Center, Springfield, VA 22150-1826 Ph: (703) 922-1000

Reviews and Comments

Optometrist in Springfield, VA

Grace Chang, Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6575n Frontier Dr, Springfield, VA 22150 Phone: 703-971-7722 Fax: 703-971-1724
Vincent Bertomeu, Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6506 Loisdale Rd, Ste 102, Springfield, VA 22150 Phone: 703-719-9110 Fax: 703-719-9040
Dr. Nava Ezra, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6501 Loisdale Court, Springfield, VA 22150 Phone: 703-922-1000
Dr. Jeannette Lucille Liu, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6701 Loisdale Rd, Suite S, Springfield, VA 22150 Phone: 703-719-5455
Minh-tam Nguyen, Optometrist Medicare: Medicare Enrolled Practice Location: 8424 Old Keene Mill Rd, Springfield, VA 22152 Phone: 703-569-6611
My Eye Dr. Optometrist Medicare: Medicare Enrolled Practice Location: 6406 Springfield Plz, Springfield, VA 22150 Phone: 703-451-4577 Fax: 703-451-8549
Michael J. Davidson, O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 8350 Traford Ln, Fl 2, Springfield, VA 22152 Phone: 703-569-6363

Wendy S Rudolph, OD - Medicare Optometrist in Springfield, VA