Charlotte Rebecca Rutkowski, MD is a medicare enrolled "Internal Medicine" physician in Kewaskum, Wisconsin. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and her current practice location is
1701 Fond Du Lac Ave, Kewaskum, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 626-4616.
Charlotte Rebecca Rutkowski is licensed to practice in Wisconsin (license number 66921-20) 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 1003228743.
Physician's Profile
| Full Name | Charlotte Rebecca Rutkowski |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 1701 Fond Du Lac Ave, Kewaskum, Wisconsin |
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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:
- Charlotte Rebecca Rutkowski graduated from medical school in 2014
NPI Data:
- NPI Number: 1003228743
- Provider Enumeration Date: 05/29/2014
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931328457
- Enrollment ID: I20170908001620
Medical Identifiers
Medical identifiers for Charlotte Rebecca Rutkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003228743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 66921-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1040 |
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. Charlotte Rebecca Rutkowski allows following entities to bill medicare on her behalf.
| Entity Name | Amery Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093763518
PECOS PAC ID: 2769391960
Enrollment ID: O20040131000207 |
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| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699 |
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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. Charlotte Rebecca Rutkowski 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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Charlotte Rebecca Rutkowski, MD
1701 Fond Du Lac Ave,
Kewaskum, WI 53040-9129
Ph: () - | Charlotte Rebecca Rutkowski, MD
1701 Fond Du Lac Ave,
Kewaskum, WI 53040-9129
Ph: (262) 626-4616 |
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