Trent Rudebeck, PT, DPT in Jacksonville, NC - Medicare Physical Therapist Provider

Trent Rudebeck, PT, DPT is a medicare enrolled "Physical Therapist" provider in Jacksonville, North Carolina. His current practice location is 2457 Gum Branch Rd Ste 600700, Jacksonville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 938-7555.

Trent Rudebeck is licensed to practice in North Carolina (license number P21929) 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 1780380048.

Contact Information

	Trent Rudebeck, PT, DPT
	2457 Gum Branch Rd Ste 600700, Jacksonville, NC 28540-4008
	(910) 938-7555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Trent Rudebeck
Gender	Male
Speciality	Physical Therapist
Location	2457 Gum Branch Rd Ste 600700, Jacksonville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780380048
Provider Enumeration Date: 02/07/2023
Last Update Date: 07/31/2024

Medicare PECOS Information:

PECOS PAC ID: 8729452016
Enrollment ID: I20230329000219

Medical Identifiers

Medical identifiers for Trent Rudebeck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780380048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P21929 (North Carolina)	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. Trent Rudebeck allows following entities to bill medicare on his behalf.

Provider Name	Ivyrehab North Carolina Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822

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. Trent Rudebeck 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
Trent Rudebeck, PT, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: () -	Trent Rudebeck, PT, DPT 2457 Gum Branch Rd Ste 600700, Jacksonville, NC 28540-4008 Ph: (910) 938-7555

Reviews and Comments

Physical Therapist in Jacksonville, NC

Erin M Ryan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083
Kelsey Aldi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555
Dr. Taylor Chadwick Bryan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083
Mr. Frank J Mikloucich Jr., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Henderson Dr, Jacksonville, NC 28546 Phone: 910-346-3151 Fax: 910-346-2975
Heather Koopman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Brabham Ave Ste 100, Jacksonville, NC 28546 Phone: 910-332-3800 Fax: 910-251-0421
Darrin Eugene Madole, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544
Jose Luis Dejesus, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544

Trent Rudebeck, PT, DPT - Medicare Physical Therapist in Jacksonville, NC