Iris Marie Rudolph, is a medicare enrolled "Social Worker - Clinical" provider in New York, New York. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Jewish Board Of Family And Childrens Services Inc and her current practice location is
119 W 124th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 932-2810.
Iris Marie Rudolph is licensed to practice in New York (license number 094294) 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 1538631262.
Healthcare Provider's Profile
| Full Name | Iris Marie Rudolph |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 119 W 124th St, New York, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Iris Marie Rudolph graduated from medical school in 2018
NPI Data:
- NPI Number: 1538631262
- Provider Enumeration Date: 12/19/2018
- Last Update Date: 05/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 9436527629
- Enrollment ID: I20221118001734
Medical Identifiers
Medical identifiers for Iris Marie Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538631262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22473 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 094294 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jewish Board Of Family And Childrens Services Inc | 5092607333 | 130 |
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. Iris Marie Rudolph allows following entities to bill medicare on her behalf.
| Entity Name | Jewish Board Of Family & Childrens Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689755662
PECOS PAC ID: 5092607333
Enrollment ID: O20040330000048 |
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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. Iris Marie 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 |
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Iris Marie Rudolph,
119 W 124th St,
New York, NY 10027-4920
Ph: () - | Iris Marie Rudolph,
119 W 124th St,
New York, NY 10027-4920
Ph: (212) 932-2810 |
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