Dr Patrick Donohue Rudersdorf, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Lakewood, Colorado. He went to Creighton University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Catholic Health Initiatives Colorado and his current practice location is
11700 W 2nd Pl, Suite 280, Lakewood, Colorado. You can reach out to his office (for appointments etc.) via phone at
(720) 321-8680.
Dr Patrick Donohue Rudersdorf is licensed to practice in Colorado (license number DR.0055303) 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 1033374186.
Physician's Profile
| Full Name | Dr Patrick Donohue Rudersdorf |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 16 Years |
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| Location | 11700 W 2nd Pl, Lakewood, Colorado |
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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 Patrick Donohue Rudersdorf attended and graduated from Creighton University School Of Medicine in 2008
NPI Data:
- NPI Number: 1033374186
- Provider Enumeration Date: 07/28/2008
- Last Update Date: 10/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 4183937337
- Enrollment ID: I20150717001086
Medical Identifiers
Medical identifiers for Dr Patrick Donohue Rudersdorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033374186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | DR.0055303 (Colorado) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A113303 (California) | Secondary |
| 208600000X | Surgery | DR.0055303 (Colorado) | Secondary |
| 208600000X | Surgery | A113303 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Catholic Health Initiatives Colorado | 8022927342 | 998 |
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 Patrick Donohue Rudersdorf allows following entities to bill medicare on his behalf.
| Entity Name | Catholic Health Initiatives Colorado |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356783351
PECOS PAC ID: 8022927342
Enrollment ID: O20031215000462 |
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| Entity Name | Valley View Hospital Association |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1437271285
PECOS PAC ID: 1850294778
Enrollment ID: O20060127000173 |
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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 Patrick Donohue Rudersdorf 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 Patrick Donohue Rudersdorf, MD
11700 W 2nd Pl, Suite 280,
Lakewood, CO 80228-1704
Ph: (720) 321-8680 | Dr Patrick Donohue Rudersdorf, MD
11700 W 2nd Pl, Suite 280,
Lakewood, CO 80228-1704
Ph: (720) 321-8680 |
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