Mr Kevin Michael Rudolph, PT in Kingston, NY - Medicare Physical Therapist Provider

Mr Kevin Michael Rudolph, PT is a medicare enrolled "Physical Therapist" provider in Kingston, New York. His current practice location is 371 Broadway, Kingston, New York. You can reach out to his office (for appointments etc.) via phone at (845) 334-2870.

Mr Kevin Michael Rudolph is licensed to practice in New York (license number 018388-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144509142.

Contact Information

	Mr Kevin Michael Rudolph, PT
	371 Broadway, Kingston, NY 12401-5151
	(845) 334-2870
	(845) 331-8840

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevin Michael Rudolph
Gender	Male
Speciality	Physical Therapist
Location	371 Broadway, Kingston, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144509142
Provider Enumeration Date: 08/08/2011
Last Update Date: 08/08/2011

Medicare PECOS Information:

PECOS PAC ID: 6709158439
Enrollment ID: I20170816000121

Medical Identifiers

Medical identifiers for Mr Kevin Michael Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144509142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	018388-1 (New York)	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. Mr Kevin Michael Rudolph allows following entities to bill medicare on his behalf.

Provider Name	Palmetto Rehabilitation Specialists Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1508826025 PECOS PAC ID: 1951311208 Enrollment ID: O20060501000626

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. Mr Kevin Michael 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
Mr Kevin Michael Rudolph, PT 371 Broadway, Kingston, NY 12401-5151 Ph: (845) 334-2870	Mr Kevin Michael Rudolph, PT 371 Broadway, Kingston, NY 12401-5151 Ph: (845) 334-2870

Reviews and Comments

Physical Therapist in Kingston, NY

Dr. Valeria Elizabeth Gallo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 918 Ulster Ave, Kingston, NY 12401 Phone: 845-339-6683
Barbara Klahn-cuffe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Plaza Rd, Kingston, NY 12401 Phone: 845-339-4722 Fax: 845-339-5730
Caitlyn Lopeck, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 918 Ulster Ave, Kingston, NY 12401 Phone: 845-802-7080 Fax: 845-663-1351
Dawn Marie Luby, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1247 Sawkill Rd, Kingston, NY 12401 Phone: 845-750-1301
Cheryl Anne Donahue, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Maiden Ln, Kingston, NY 12401 Phone: 845-688-2888 Fax: 845-688-2811
Matthew Dittus, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 340 Plaza Rd, Kingston, NY 12401 Phone: 845-339-4722
Ms. Jodie Lee Cesaratto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 371 Broadway, Kingston, NY 12401 Phone: 845-334-2870 Fax: 845-331-8840

Mr Kevin Michael Rudolph, PT - Medicare Physical Therapist in Kingston, NY