Kathleen Simms Rudolf, O D in Dayton, OH - Medicare Optometry Provider

Kathleen Simms Rudolf, O D is a medicare enrolled "Optometrist" provider in Dayton, Ohio. She went to Ohio State University - College Of Optometry and graduated in 2009 and has 15 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Optometric Management Group Llc and her current practice location is 813 Troy St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 228-2020.

Kathleen Simms Rudolf is licensed to practice in Ohio (license number 5891/T2805) 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 1033349055.

Contact Information

	Kathleen Simms Rudolf, O D
	813 Troy St, Dayton, OH 45404-1852
	(937) 228-2020
	(937) 228-8769

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Simms Rudolf
Gender	Female
Speciality	Optometry
Experience	15 Years
Location	813 Troy St, Dayton, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Simms Rudolf attended and graduated from Ohio State University - College Of Optometry in 2009

NPI Data:

NPI Number: 1033349055
Provider Enumeration Date: 07/24/2009
Last Update Date: 07/24/2009

Medicare PECOS Information:

PECOS PAC ID: 3274679519
Enrollment ID: I20090930000261

Medical Identifiers

Medical identifiers for Kathleen Simms Rudolf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033349055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5891/T2805 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optometric Management Group Llc	7517034291	31

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. Kathleen Simms Rudolf allows following entities to bill medicare on her behalf.

Provider Name	Optometric Management Group Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265534093 PECOS PAC ID: 7517034291 Enrollment ID: O20080922000553

Provider Name	Dayton Optometric Center Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194722603 PECOS PAC ID: 1456384924 Enrollment ID: O20090827000161

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. Kathleen Simms Rudolf 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
Kathleen Simms Rudolf, O D 813 Troy St, Dayton, OH 45404-1852 Ph: (937) 228-2020	Kathleen Simms Rudolf, O D 813 Troy St, Dayton, OH 45404-1852 Ph: (937) 228-2020

Reviews and Comments

Optometrist in Dayton, OH

Jason Andrus, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511
Stephen K Wheeler Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3465 York Commons Blvd, Dayton, OH 45414 Phone: 937-454-6450 Fax: 937-454-6452
Gobinda Pangeni, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 502-333-4760
T. R. Stahl & Assoc. Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3085 Woodman Dr Ste 100, Dayton, OH 45420 Phone: 937-258-1515 Fax: 937-258-4128
Dayton Eye Associates, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 89 Sylvania Dr, Dayton, OH 45440 Phone: 937-320-2020 Fax: 937-320-0504
Family First Vision Care Kentucky, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2735 Miamisburg Centerville Rd, Dayton, OH 45459 Phone: 937-435-4060

Kathleen Simms Rudolf, O D - Medicare Optometrist in Dayton, OH