Dr Nicholas Adam Rudloff, DO is a medicare enrolled "Dermatology" physician in Riverside, Missouri. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Epiphany Dermatology Of Missouri Llc and his current practice location is
1805 Nw Platte Rd Ste 120, Riverside, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 472-0400.
Dr Nicholas Adam Rudloff is licensed to practice in Missouri (license number 2014025262) 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 1407006364.
Physician's Profile
| Full Name | Dr Nicholas Adam Rudloff |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 15 Years |
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| Location | 1805 Nw Platte Rd Ste 120, Riverside, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nicholas Adam Rudloff graduated from medical school in 2011
NPI Data:
- NPI Number: 1407006364
- Provider Enumeration Date: 09/26/2008
- Last Update Date: 02/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921323619
- Enrollment ID: I20150223000794
Medical Identifiers
Medical identifiers for Dr Nicholas Adam Rudloff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407006364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 2014025262 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Epiphany Dermatology Of Missouri Llc | 1153689294 | 19 |
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 Nicholas Adam Rudloff allows following entities to bill medicare on his behalf.
| Entity Name | Epiphany Dermatology Of Missouri Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528573342
PECOS PAC ID: 1153689294
Enrollment ID: O20171219003630 |
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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 Nicholas Adam Rudloff 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 Address | Practice Location Address |
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Dr Nicholas Adam Rudloff, DO
1805 Nw Platte Rd Ste 120,
Riverside, MO 64150-7500
Ph: (816) 472-0400 | Dr Nicholas Adam Rudloff, DO
1805 Nw Platte Rd Ste 120,
Riverside, MO 64150-7500
Ph: (816) 472-0400 |
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