| Dr Michael Patrick Rudolph, DO | |
|
305 S State St, Aberdeen, SD 57401-4527 | |
| (605) 622-2142 | |
| (605) 622-5127 |
| Full Name | Dr Michael Patrick Rudolph |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 305 S State St, Aberdeen, South Dakota |
| 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 |
|---|---|---|---|
| 1295732923 | NPI | - | NPPES |
| 0120733 | Medicaid | IA | |
| 0442343 | Medicaid | IA | |
| 000000391600 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200802530 | Medicaid | IN | |
| 11507531 | Other | IN | CAQH NUMBER |
| 9265107 | Other | IN | PHCS PID NUMBER |
| 50171 | Other | IA | WELLMARK GROUP # |
| 4571 | Other | SD | MEDICAL LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1045 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Patrick Rudolph, DO Po Box 9168, Minneapolis, MN 55480-9168 Ph: (866) 825-8303 | Dr Michael Patrick Rudolph, DO 305 S State St, Aberdeen, SD 57401-4527 Ph: (605) 622-2142 |
Ms. Susan W Ramig, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 905 N 3rd St, Aberdeen, SD 57401 Phone: 605-226-2108 Fax: 605-226-3937 | |
Mr. Fred S Landes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3015 3rd Ave Se, Aberdeen, SD 57401 Phone: 605-725-1700 Fax: 605-725-1761 | |
Dr. John S. Vassar, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5127 | |
Christian Andrew Eby, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3015 3rd Ave Se, Aberdeen, SD 57401 Phone: 605-725-1700 | |
Mr. Martin G Vick, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57402 Phone: 605-622-2818 Fax: 605-622-5041 | |
Dusty J Thorpe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5127 |