| Dr Ehren Rudolph, MD, PHD | |
|
640 Jackson St, Saint Paul, MN 55101-2502 | |
| (651) 254-5151 | |
| (651) 254-4123 |
| Full Name | Dr Ehren Rudolph |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 15 Years |
| Location | 640 Jackson St, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952628604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 56702 (Minnesota) | Secondary |
| 208600000X | Surgery | 56702 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Memorial Health | Robbinsdale, MN | Hospital |
| Maple Grove Hospital | Maple grove, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Memorial Health Care | 0042123028 | 469 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | North Memorial Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ehren Rudolph, MD, PHD 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: (612) 625-3926 | Dr Ehren Rudolph, MD, PHD 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-5151 |
Juan Jose Blondet Teixeira, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 280 Smith Ave N, Suite 700, Saint Paul, MN 55102 Phone: 651-241-6600 | |
Brian S Myer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St # Ms 11502v, Saint Paul, MN 55101 Phone: 651-254-7980 Fax: 651-254-7990 | |
Sarah Storrs, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-7980 Fax: 651-254-7990 | |
Dr. James Adam Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N, Ste. 400, Saint Paul, MN 55102 Phone: 651-290-0133 | |
Richard S Gregory, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N, Suite 200, Saint Paul, MN 55102 Phone: 651-241-6550 Fax: 651-241-6586 | |
Dr. Diane S Ogren, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 310 Smith Ave N, Saint Paul, MN 55102 Phone: 952-843-4333 Fax: 952-843-4301 | |
Dr. Robert Elliott Bulander Jr., M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11502v, Saint Paul, MN 55101 Phone: 651-254-3136 Fax: 651-254-1480 |