Dr Kim Ann Rutherford, MD - Medicare Pediatrics in Mineola, NY

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Dr Kim Ann Rutherford, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Mineola, New York. Her current practice location is 259 1st St, Mineola, New York. You can reach out to her office (for appointments etc.) via phone at (717) 531-8955.

Dr Kim Ann Rutherford is licensed to practice in Pennsylvania (license number MD417166) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013102649.

Contact Information

Dr Kim Ann Rutherford, MD
259 1st St,
Mineola, NY 11501-3957
(717) 531-8955
Not Available

Map and Direction




Physician's Profile

Full NameDr Kim Ann Rutherford
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
Location259 1st St, Mineola, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013102649
  • Provider Enumeration Date: 09/06/2007
  • Last Update Date: 03/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183713597
  • Enrollment ID: I20160329000300

Medical Identifiers

Medical identifiers for Dr Kim Ann Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013102649NPI-NPPES
169184OtherPAMEDICARE
001868391MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 37476 (Arizona)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 37476 (Arizona)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine MD417166 (Pennsylvania)Primary

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 Kim Ann Rutherford allows following entities to bill medicare on her behalf.
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026
Entity NameWinthrop Community Medical Affiliates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457873077
PECOS PAC ID: 5698092385
Enrollment ID: O20150317001669

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 Kim Ann 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 AddressPractice Location Address
Dr Kim Ann Rutherford, MD
259 1st St,
Mineola, NY 11501-3957

Ph: () -		Dr Kim Ann Rutherford, MD
259 1st St,
Mineola, NY 11501-3957

Ph: (717) 531-8955

Reviews and Comments


Pediatrics Doctors in Mineola, NY

Manisha Sakore, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-3853    Fax: 516-663-8955
Dr. Louise Marie Castiglia, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 156 First Street, Mineola, NY 11501
Phone: 516-741-4082    
Estela De Los Angeles Noyola, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 259 1st St Dept Of, Mineola, NY 11501
Phone: 516-663-2288    Fax: 516-663-8955
Kaitlin Boehm, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-8766    
Dr. Julie Weiser-shlefstein, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 200 County Seat Drive, Mineola, NY 11501
Phone: 516-227-9501    Fax: 517-227-9644
Rolando Capati Guevarra, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 222 Station Plz N, Suite 408, Mineola, NY 11501
Phone: 516-663-8534    Fax: 516-663-8297

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.