Avidah H Rudberg, MD is a medicare enrolled "Urology" physician in Bonita Springs, Florida. He went to Rutgers, Robert Woood Johnson Medical School and graduated in 1989 and has 37 years of diverse experience with area of expertise as Urology. His current practice location is
9500 Bonita Beach Rd Se Ste 201, Bonita Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 441-2932.
Avidah H Rudberg is licensed to practice in Florida (license number ME142399) 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 1639124779.
Physician's Profile
| Full Name | Avidah H Rudberg |
|---|
| Gender | Male |
|---|
| Speciality | Urology |
|---|
| Experience | 37 Years |
|---|
| Location | 9500 Bonita Beach Rd Se Ste 201, Bonita Springs, Florida |
|---|
| 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:
- Avidah H Rudberg attended and graduated from Rutgers, Robert Woood Johnson Medical School in 1989
NPI Data:
- NPI Number: 1639124779
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 08/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345229886
- Enrollment ID: I20040717000068
Medical Identifiers
Medical identifiers for Avidah H Rudberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639124779 | NPI | - | NPPES |
| 124211000 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | ME142399 (Florida) | 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. Avidah H Rudberg allows following entities to bill medicare on his behalf.
| Entity Name | A. H. Rudberg Urology Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1861406738
PECOS PAC ID: 0547231029
Enrollment ID: O20040805001621 |
|---|
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. Avidah H Rudberg 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 |
|---|
Avidah H Rudberg, MD
6321 Daniels Pkwy Ste 200,
Fort Myers, FL 33912-4710
Ph: (239) 416-8101 | Avidah H Rudberg, MD
9500 Bonita Beach Rd Se Ste 201,
Bonita Springs, FL 34135-4683
Ph: (239) 441-2932 |
Reviews and Comments