Dr Shannon Michiyo Rudolph, DC - Medicare Chiropractor in Gainesville, FL

Dr Shannon Michiyo Rudolph, DC is a medicare enrolled "Chiropractor" provider in Gainesville, Florida. She went to Logan College Of Chiropractic and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Chiropractic Solutions Of Gainesville Inc and her current practice location is 4400 Nw 23rd Ave, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 371-4120.

Dr Shannon Michiyo Rudolph is licensed to practice in Florida (license number CH9069) 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 1548313711.

Contact Information

Dr Shannon Michiyo Rudolph, DC
4400 Nw 23rd Ave,
Gainesville, FL 32606-6580
(352) 371-4120
(352) 371-3378

Map and Direction




Healthcare Provider's Profile

Full NameDr Shannon Michiyo Rudolph
GenderFemale
SpecialityChiropractic
Experience20 Years
Location4400 Nw 23rd Ave, Gainesville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shannon Michiyo Rudolph attended and graduated from Logan College Of Chiropractic in 2004
  NPI Data:
  • NPI Number: 1548313711
  • Provider Enumeration Date: 01/19/2007
  • Last Update Date: 02/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5294874004
  • Enrollment ID: I20091207000631

Medical Identifiers

Medical identifiers for Dr Shannon Michiyo Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548313711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor CH9069 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chiropractic Solutions Of Gainesville Inc22645625862

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. Dr Shannon Michiyo Rudolph allows following entities to bill medicare on her behalf.
Provider NameChiropractic Solutions Of Gainesville Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1386966885
PECOS PAC ID: 2264562586
Enrollment ID: O20100614000430

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. Dr Shannon Michiyo 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 AddressPractice Location Address
Dr Shannon Michiyo Rudolph, DC
2727 Nw 43rd St, Ste 7b,
Gainesville, FL 32606-6632

Ph: (352) 872-5095
Dr Shannon Michiyo Rudolph, DC
4400 Nw 23rd Ave,
Gainesville, FL 32606-6580

Ph: (352) 371-4120

Reviews and Comments


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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.