Brent A Rudisel, DO is a medicare enrolled "Emergency Medicine" physician in Fairfield, Illinois. His current practice location is
503a N 1st St, Fairfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 842-2491.
Brent A Rudisel is licensed to practice in Illinois (license number 036111757) 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 1477652287.
Physician's Profile
Full Name | Brent A Rudisel |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 503a N 1st St, Fairfield, Illinois |
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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:
- Brent A Rudisel attended and graduated from in
NPI Data:
- NPI Number: 1477652287
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 07/25/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Brent A Rudisel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477652287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 036111757 (Illinois) | Primary |
207P00000X | Emergency Medicine | 02002497A (Indiana) | Secondary |
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. Brent A Rudisel 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 |
Brent A Rudisel, DO 503a N 1st St, Fairfield, IL 62837-2443 Ph: (618) 842-2491 | Brent A Rudisel, DO 503a N 1st St, Fairfield, IL 62837-2443 Ph: (618) 842-2491 |
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