Dr Audrey Kay Rutherford, MD is a medicare enrolled "Dermatology" physician in Centerville, Utah. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 2018 and has 8 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Epiphany Dermatology Of Colorado Llc and her current practice location is
1222 W Legacy Crossing Blvd Ste 200, Centerville, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 549-0570.
Dr Audrey Kay Rutherford is licensed to practice in Utah (license number 12829524-1205) 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 1366946899.
Physician's Profile
| Full Name | Dr Audrey Kay Rutherford |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 8 Years |
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| Location | 1222 W Legacy Crossing Blvd Ste 200, Centerville, Utah |
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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:
- Dr Audrey Kay Rutherford attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2018
NPI Data:
- NPI Number: 1366946899
- Provider Enumeration Date: 03/20/2018
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385029230
- Enrollment ID: I20240627004137
Medical Identifiers
Medical identifiers for Dr Audrey Kay Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366946899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 12829524-1205 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Epiphany Dermatology Of Colorado Llc | 8921354341 | 17 |
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. Dr Audrey Kay Rutherford allows following entities to bill medicare on her behalf.
| Entity Name | Epiphany Dermatology Of Colorado Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992297469
PECOS PAC ID: 8921354341
Enrollment ID: O20180627001525 |
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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. Dr Audrey Kay Rutherford 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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Dr Audrey Kay Rutherford, MD
114 Deer Creek Dr,
Aledo, TX 76008-3900
Ph: (817) 304-8839 | Dr Audrey Kay Rutherford, MD
1222 W Legacy Crossing Blvd Ste 200,
Centerville, UT 84014-5560
Ph: (801) 549-0570 |
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