| Dr Kyle Erick Rudningen, MD | |
|
1900 Centracare Cir Ste 2575, Saint Cloud, MN 56303-5000 | |
| (320) 229-4924 | |
| (320) 229-4971 |
| Full Name | Dr Kyle Erick Rudningen |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 1900 Centracare Cir Ste 2575, Saint Cloud, 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 |
|---|---|---|---|
| 1194248013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 71434-20 (Wisconsin) | Secondary |
| 207N00000X | Dermatology | 7125-851 (Wisconsin) | Secondary |
| 207N00000X | Dermatology | 70700 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | United Skin Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861861759 PECOS PAC ID: 0446558993 Enrollment ID: O20160415001552 |
| Entity Name | Centracare Clinic Southwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Erick Rudningen, MD 1900 Centracare Cir Ste 2575, Saint Cloud, MN 56303-5000 Ph: (320) 229-4924 | Dr Kyle Erick Rudningen, MD 1900 Centracare Cir Ste 2575, Saint Cloud, MN 56303-5000 Ph: (320) 229-4924 |
Christina K Anderson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Jessica Jane Newman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir Ste 2575, Saint Cloud, MN 56303 Phone: 320-229-4924 | |
John D Mischke, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Dr. Daniel Kevin Elieff, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1510 24th Ave N, Saint Cloud, MN 56303 Phone: 320-259-0208 Fax: 320-259-0715 |