Dr Rudolph Michael Kevak, MD is a medicare enrolled "Internal Medicine" physician in Saint Albans, West Virginia. His current practice location is
200 Main St, Saint Albans, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 201-3600.
Dr Rudolph Michael Kevak is licensed to practice in West Virginia (license number 18988) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932108206.
Physician's Profile
| Full Name | Dr Rudolph Michael Kevak |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 200 Main St, Saint Albans, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932108206
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 04/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 2860678513
- Enrollment ID: I20110516000266
Medical Identifiers
Medical identifiers for Dr Rudolph Michael Kevak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932108206 | NPI | - | NPPES |
| 5600010-000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 18988 (West Virginia) | Secondary |
| 207R00000X | Internal Medicine | 18988 (West Virginia) | 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 Rudolph Michael Kevak allows following entities to bill medicare on his behalf.
| Entity Name | Minnie Hamilton Health Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124029400
PECOS PAC ID: 2961311667
Enrollment ID: O20031204000002 |
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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 Rudolph Michael Kevak 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 |
|---|
Dr Rudolph Michael Kevak, MD
200 Main St,
Saint Albans, WV 25177-2802
Ph: (304) 201-3600 | Dr Rudolph Michael Kevak, MD
200 Main St,
Saint Albans, WV 25177-2802
Ph: (304) 201-3600 |
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