Jane Elizabeth Rudolph, MD in Waterbury, CT

Jane Elizabeth Rudolph, MD is a medicare enrolled "Pediatrics" physician in Waterbury, Connecticut. Her current practice location is 179 Roseland Ave, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 574-4747.

Jane Elizabeth Rudolph is licensed to practice in Connecticut (license number 023752) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639189707.

Contact Information

	Jane Elizabeth Rudolph, MD
	179 Roseland Ave, Waterbury, CT 06710
	(203) 574-4747
	(203) 574-2251

Map and Direction

Physician's Profile

Full Name	Jane Elizabeth Rudolph
Gender	Female
Speciality	Pediatrics
Location	179 Roseland Ave, Waterbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639189707
Provider Enumeration Date: 08/09/2006
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 6103096912
Enrollment ID: I20110906000536

Medical Identifiers

Medical identifiers for Jane Elizabeth Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639189707	NPI	-	NPPES
00123752800	Other	CT	BCFP
001237528	Medicaid	CT
0K0607	Other	CT	HN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	023752 (Connecticut)	Primary

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. Jane Elizabeth Rudolph 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
Jane Elizabeth Rudolph, MD 179 Roseland Ave, Waterbury, CT 06710 Ph: (203) 574-4747	Jane Elizabeth Rudolph, MD 179 Roseland Ave, Waterbury, CT 06710 Ph: (203) 574-4747

Reviews and Comments

Pediatrics Doctors in Waterbury, CT

Dr. Maria Tasso, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-346-6971
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Dr. Ellen Mascoli-lanza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-346-6971
Neysa J. Mcdonald, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782
Stephen J Maddox Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782
Elsa Mercedes Martinez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 80 Phoenix Ave Ste 201, Waterbury, CT 06702 Phone: 203-756-8021
Dr. Linda T Mathew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2457 E Main St, Waterbury, CT 06705 Phone: 203-754-0169 Fax: 203-578-3420

Jane Elizabeth Rudolph, MD - Medicare Pediatrics in Waterbury, CT