David Richard Rudolph, FNP in Tucson, AZ - Medicare Nurse Practitioner

David Richard Rudolph, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tucson, Arizona. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice El Rio Santa Cruz Neighborhood Health Center, Inc and his current practice location is 6236 E Pima St Ste 100, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 327-6874.

David Richard Rudolph is licensed to practice in Arizona (license number AP10369) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255854543.

Contact Information

	David Richard Rudolph, FNP
	6236 E Pima St Ste 100, Tucson, AZ 85712-3164
	(520) 327-6874
	Not Available

Map and Direction

Provider's Profile

Full Name	David Richard Rudolph
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	6236 E Pima St Ste 100, Tucson, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Richard Rudolph graduated from nursing school in 2017

NPI Data:

NPI Number: 1255854543
Provider Enumeration Date: 07/19/2017
Last Update Date: 07/19/2017

Medicare PECOS Information:

PECOS PAC ID: 6608149075
Enrollment ID: I20170906002956

Medical Identifiers

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

Identifier	Type	State	Issuer
1255854543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP10369 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
El Rio Santa Cruz Neighborhood Health Center, Inc	6305739244	227

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. David Richard Rudolph allows following entities to bill medicare on his behalf.

Entity Name	Arizona Community Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205871076 PECOS PAC ID: 4587560552 Enrollment ID: O20031210000500

Entity Name	El Rio Santa Cruz Neighborhood Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487602736 PECOS PAC ID: 6305739244 Enrollment ID: O20040205000098

Entity Name	Southern Arizona Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285994004 PECOS PAC ID: 9335398031 Enrollment ID: O20121011000888

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. David Richard 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
David Richard Rudolph, FNP 6236 E Pima St Ste 100, Tucson, AZ 85712-3164 Ph: () -	David Richard Rudolph, FNP 6236 E Pima St Ste 100, Tucson, AZ 85712-3164 Ph: (520) 327-6874

Reviews and Comments

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David Richard Rudolph, FNP - Medicare Nurse Practitioner in Tucson, AZ