Mary M Rudolph, NP - Medicare Nurse Practitioner in Menlo Park, CA

Mary M Rudolph, NP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Menlo Park, California. Her current practice location is 321 Middlefield Rd, Menlo Park, California. You can reach out to her office (for appointments etc.) via phone at (650) 498-6623.

Mary M Rudolph is licensed to practice in California (license number NP572) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588628218.

Contact Information

Mary M Rudolph, NP
321 Middlefield Rd,
Menlo Park, CA 94025-3500
(650) 498-6623
Not Available

Map and Direction




Provider's Profile

Full NameMary M Rudolph
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location321 Middlefield Rd, Menlo Park, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588628218
  • Provider Enumeration Date: 04/12/2006
  • Last Update Date: 12/20/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0446203475
  • Enrollment ID: I20050301001023

Medical Identifiers

Medical identifiers for Mary M Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588628218NPI-NPPES
MMM00087MOtherNHIC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology NP572 (California)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. Mary M Rudolph allows following entities to bill medicare on her behalf.
Entity NameUniversity Healthcare Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760531198
PECOS PAC ID: 6305748799
Enrollment ID: O20040126000292

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. Mary M 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
Mary M Rudolph, NP
Po Box 60000, File #72484,
San Francisco, CA 94160-0001

Ph: () -
Mary M Rudolph, NP
321 Middlefield Rd,
Menlo Park, CA 94025-3500

Ph: (650) 498-6623

Reviews and Comments


Nurse Practitioner Nurses in Menlo Park, CA

Ms. Rebecca Mcconnaughy, MSN, RN, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 795 Willow Rd, Building 360, H-216, Menlo Park, CA 94025
Phone: 650-493-5000    Fax: 650-614-9970
Mrs. Bobbi Sue Holder, W.H.N.P.
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Medicare: Not Enrolled in Medicare
Practice Location: 1300 University Dr Ste 8, Menlo Park, CA 94025
Phone: 313-870-7799    
Ms. Vivian Chan, MS, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 795 Willow Rd, Menlo Park, CA 94025
Phone: 650-493-5000    
Diane Melissa Criscuolo, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 321 Middlefield Rd Ste 225, Menlo Park, CA 94025
Phone: 650-724-5338    
Ms. Laurie R. Berg, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 795 Willow Rd, Building 347-a, Menlo Park, CA 94025
Phone: 650-493-5000    
Mrs. Virginia Victoria Mills, RN,PHN,NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 795 Willow Rd # 332, Menlo Park, CA 94025
Phone: 650-578-7195    Fax: 650-324-4149
Leslie Rebecca Abrams, MSN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 299 Oakhurst Pl, Menlo Park, CA 94025
Phone: 650-380-8547    

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.