Glenn Rudolph, DMD - Medicare Dentist in Louisville, KY

Glenn Rudolph, DMD is a medicare enrolled "Dentist" provider in Louisville, Kentucky. His current practice location is 3707 Chamberlain Ln, Suite 103, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 412-2222.

Glenn Rudolph is licensed to practice in Kentucky (license number 9731) 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 1033482260.

Contact Information

Glenn Rudolph, DMD
3707 Chamberlain Ln, Suite 103,
Louisville, KY 40241-2001
(502) 412-2222
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGlenn Rudolph
GenderMale
SpecialityDentist
Location3707 Chamberlain Ln, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033482260
  • Provider Enumeration Date: 02/19/2012
  • Last Update Date: 07/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4486967270
  • Enrollment ID: I20150722006253

Medical Identifiers

Medical identifiers for Glenn Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033482260NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 6014 (Alabama)Secondary
122300000XDentist 9731 (Kentucky)Primary

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. Glenn 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
Glenn Rudolph, DMD
1802 Strand Ave,
Louisville, KY 40205-1432

Ph: (256) 762-8908
Glenn Rudolph, DMD
3707 Chamberlain Ln, Suite 103,
Louisville, KY 40241-2001

Ph: (502) 412-2222

Reviews and Comments


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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.