Dr John Bradley Rudolph, DO - Medicare Family Practice in Clarkston, WA

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Dr John Bradley Rudolph, DO is a medicare enrolled "Family Medicine" physician in Clarkston, Washington. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hni Medical Services Of Washington, Pc, Hni Hospitalists Of Idaho Llc, Meza Post Acute And Long Term Care, Pllc, Vannvei Llc and his current practice location is 1119 Highland Ave, Clarkston, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 758-1450.

Dr John Bradley Rudolph is licensed to practice in Washington (license number OP60506022) 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 1548503022.

Contact Information

Dr John Bradley Rudolph, DO
1119 Highland Ave,
Clarkston, WA 99403-2836
(509) 758-1450
(509) 751-1504

Map and Direction




Physician's Profile

Full NameDr John Bradley Rudolph
GenderMale
SpecialityFamily Practice
Experience11 Years
Location1119 Highland Ave, Clarkston, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Bradley Rudolph graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1548503022
  • Provider Enumeration Date: 04/03/2013
  • Last Update Date: 08/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759604309
  • Enrollment ID: I20150106001908

Medical Identifiers

Medical identifiers for Dr John Bradley Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548503022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OP60506022 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elite Home HealthClarkston, WAHome health agency
Tri-state Memorial HospitalClarkston, WAHospital
St Joseph Regional Medical CenterLewiston, IDHospital
Lewiston Transitional Care Of CascadiaLewiston, IDNursing home
Prestige Care & Rehabilitation - ClarkstonClarkston, WANursing home
Advanced Health Care Of LewistonLewiston, IDNursing home
Royal Plaza Health & RehabilitationLewiston, IDNursing home
Prestige Care & Rehabilitation - The OrchardsLewiston, IDNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hni Medical Services Of Washington, Pc57991800893
Hni Hospitalists Of Idaho Llc428499988913
Meza Post Acute And Long Term Care, Pllc498102850320
Vannvei Llc125474342019

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 John Bradley Rudolph allows following entities to bill medicare on his behalf.
Entity NameSouth Sound Inpatient Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023285756
PECOS PAC ID: 5991618738
Enrollment ID: O20031107000668
Entity NameTri-state Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598814352
PECOS PAC ID: 4082502422
Enrollment ID: O20040308001123
Entity NameHni Medical Services Of Washington, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922679349
PECOS PAC ID: 5799180089
Enrollment ID: O20210825001275
Entity NameMeza Post Acute And Long Term Care, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932725215
PECOS PAC ID: 4981028503
Enrollment ID: O20230324002606

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 John Bradley Rudolph 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 AddressPractice Location Address
Dr John Bradley Rudolph, DO
Po Box 189,
Clarkston, WA 99403-0189

Ph: (509) 758-5511		Dr John Bradley Rudolph, DO
1119 Highland Ave,
Clarkston, WA 99403-2836

Ph: (509) 758-1450

Reviews and Comments


Family Medicine Doctors in Clarkston, WA

Dr. David B Martin, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1625 5th St, Clarkston, WA 99403
Phone: 509-751-9981    Fax: 509-751-9983
Mohamad Altayeb Al-hafez, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1221 Highland Ave, Clarkston, WA 99403
Phone: 360-754-5858    
Elizabeth Lefft Black, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1271 Highland Ave Ste B, Clarkston, WA 99403
Phone: 509-751-5500    Fax: 509-751-1059
Elina Chernyak, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 302 5th St Ste 3, Clarkston, WA 99403
Phone: 509-769-2211    Fax: 509-769-2210
Dr. Allen Michael Ernster, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 7th St, Clarkston, WA 99403
Phone: 509-758-3341    Fax: 509-769-6057
Dr. Carson Douglas Seeber, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1119 Highland Ave, Suite A, Clarkston, WA 99403
Phone: 509-758-1450    Fax: 509-751-1504

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.