| Kathryn M Rudman, MD | |
|
68b Route 6a, Sandwich, MA 02563-1864 | |
| (508) 833-0269 | |
| (508) 833-1467 |
| Full Name | Kathryn M Rudman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 68b Route 6a, Sandwich, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497718035 | NPI | - | NPPES |
| J21057 | Other | MA | BCBS |
| 3196631 | Medicaid | MA | |
| 202098 | Other | MA | HPHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 158388 (Massachusetts) | Primary |
| Entity Name | Medical Affiliates Of Cape Cod Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770534927 PECOS PAC ID: 3577471564 Enrollment ID: O20040510001010 |
| Entity Name | Physicians Of Cape Cod Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679832364 PECOS PAC ID: 9638326671 Enrollment ID: O20120828000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn M Rudman, MD 68b Route 6a, Sandwich, MA 02563-1864 Ph: (508) 362-5727 | Kathryn M Rudman, MD 68b Route 6a, Sandwich, MA 02563-1864 Ph: (508) 833-0269 |
Vanessa Lee Rallis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 68b Route 6a, Sandwich, MA 02563 Phone: 508-833-0269 | |
Dr. Marianne Sarah Koenig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 449 Route 130, Sandwich, MA 02563 Phone: 508-888-8430 Fax: 508-888-6673 | |
Dr. Frances L Nenna, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 449 Route 130, Sandwich, MA 02563 Phone: 508-888-8430 Fax: 508-888-6673 | |
Robert E Ledwith, PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 68b Route 6a, Sandwich, MA 02563 Phone: 508-833-0269 Fax: 508-833-1467 | |
Cassandra Perry, Pediatrics Medicare: Medicare Enrolled Practice Location: Briarpatch Pediatrics 68b Route A, Sandwich, MA 02563 Phone: 508-833-0269 |