Raymond Rudolph, MD in Savannah, GA

Raymond Rudolph, MD is a medicare enrolled "Surgery" physician in Savannah, Georgia. His current practice location is 4700 Waters Ave, Suite 405, Savannah, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 350-2700.

Raymond Rudolph is licensed to practice in Georgia (license number 30205) 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 1295836617.

Contact Information

	Raymond Rudolph, MD
	4700 Waters Ave, Suite 405, Savannah, GA 31404-6220
	(912) 350-2700
	(912) 350-2715

Map and Direction

Physician's Profile

Full Name	Raymond Rudolph
Gender	Male
Speciality	Surgery
Location	4700 Waters Ave, Savannah, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295836617
Provider Enumeration Date: 09/26/2006
Last Update Date: 04/26/2013

Medicare PECOS Information:

PECOS PAC ID: 8628119690
Enrollment ID: I20100113000274

Medical Identifiers

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

Identifier	Type	State	Issuer
1295836617	NPI	-	NPPES
000453043L	Medicaid	GA
10065386	Other	GA	AMERIGROUP
000453043E	Medicaid	GA
P00955061	Other	SC	RAILROAD MEDICARE
000453043I	Medicaid	GA
000453043M	Medicaid	GA
020047969	Other	GA	RAILROAD MEDICARE
020050906	Other	SC	RAILROAD MEDICARE
349825	Other	GA	WELLCARE
000453043B	Medicaid	GA
000453043D	Medicaid	GA
000453043G	Medicaid	GA
P00955071	Other	GA	RAILROAD MEDICARE
000453043J	Medicaid	GA
G30205	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	30205 (Georgia)	Primary
208600000X	Surgery	21641 (South Carolina)	Secondary

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. Raymond Rudolph allows following entities to bill medicare on his behalf.

Entity Name	Mppg Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338

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. Raymond 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
Raymond Rudolph, MD 4700 Waters Ave, Suite 405, Savannah, GA 31404-6220 Ph: (912) 350-2700	Raymond Rudolph, MD 4700 Waters Ave, Suite 405, Savannah, GA 31404-6220 Ph: (912) 350-2700

Reviews and Comments

Surgery Doctors in Savannah, GA

Catherine Ann Ronaghan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St Ste 107, Savannah, GA 31405 Phone: 912-819-7630 Fax: 912-819-5860
Robert Joseph Kelly Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Avenue, 1st Floor Mus Bldg, Savannah, GA 31404 Phone: 912-350-8712 Fax: 912-350-8753
Edward J Cohn Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave, Suite 500, Savannah, GA 31404 Phone: 866-957-8346 Fax: 912-355-1414
Davis Sungwhan Moon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 500, Savannah, GA 31404 Phone: 912-352-8346 Fax: 912-355-5515
David Helmar Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 5361 Reynolds St, Savannah, GA 31405 Phone: 912-355-8000 Fax: 912-355-8403
Glenn N Carlos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave Ste 403, Savannah, GA 31404 Phone: 912-273-1150
Dr. Jeffrey Samuel Mandel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1326 Eisenhower Dr Bldg 2, Savannah, GA 31406 Phone: 912-354-6303 Fax: 912-355-8655

Raymond Rudolph, MD - Medicare Surgery in Savannah, GA