Jack Rutkowski, MD - Medicare Internal Medicine in Independence, OH

Jack Rutkowski, MD is a medicare enrolled "Internal Medicine" physician in Independence, Ohio. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Two Brothers Enterprises Inc and his current practice location is 4400 Rockside Rd, Suite 2100, Independence, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 573-1300.

Jack Rutkowski is licensed to practice in Ohio (license number 35-088270) 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 1073602520.

Contact Information

Jack Rutkowski, MD
4400 Rockside Rd, Suite 2100,
Independence, OH 44131-2109
(216) 573-1300
Not Available

Map and Direction




Physician's Profile

Full NameJack Rutkowski
GenderMale
SpecialityInternal Medicine
Experience23 Years
Location4400 Rockside Rd, Independence, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jack Rutkowski graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1073602520
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 09/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3274530514
  • Enrollment ID: I20061031000183

Medical Identifiers

Medical identifiers for Jack Rutkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073602520NPI-NPPES
000000590092OtherOHANTHEM BLUE SHIELD
T88270OtherOHSUMMACARE
2698540MedicaidOH
000000500020OtherOHANTHEM
745390OtherOHBUCKEYE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35-088270 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crystal Clinic Orthopaedic CenterAkron, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Two Brothers Enterprises Inc01433844382

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. Jack Rutkowski allows following entities to bill medicare on his behalf.
Entity NameTwo Brothers Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851540280
PECOS PAC ID: 0143384438
Enrollment ID: O20090202000174

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. Jack Rutkowski 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 AddressPractice Location Address
Jack Rutkowski, MD
4400 Rockside Rd, Suite 2100,
Independence, OH 44131-2109

Ph: (216) 573-1300
Jack Rutkowski, MD
4400 Rockside Rd, Suite 2100,
Independence, OH 44131-2109

Ph: (216) 573-1300

Reviews and Comments


Internal Medicine Doctors in Independence, OH

Dr. John Michael Humienny, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6480 Rockside Woods Blvd S Ste 330, Independence, OH 44131
Phone: 855-490-9434    
Robert E. Crook, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6801 Brecksville Rd # Rk30, Independence, OH 44131
Phone: 216-444-9819    Fax: 216-636-7877
George J Friedhoff, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6701 Rockside Rd, Suite 103, Independence, OH 44131
Phone: 216-369-2800    
Karen Floro, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6801 Brecksville Rd, Independence, OH 44131
Phone: 440-989-4874    
Dr. Charity Amba Kankam, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6701 Rockside Rd, Ste 365, Independence, OH 44131
Phone: 216-901-5706    Fax: 216-901-6201
Dr. Nezar Rahim, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6701 Rockside Rd, Suite 365, Independence, OH 44131
Phone: 216-901-5706    Fax: 216-901-6201

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.