Marshall Dillon Rutherford, MD - Medicare Family Practice in Fond Du Lac, WI

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Marshall Dillon Rutherford, MD is a medicare enrolled "Family Medicine" physician in Fond Du Lac, Wisconsin. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aurora Advanced Healthcare, Inc., Aurora Medical Group, Inc. and his current practice location is 210 Wisconsin American Dr, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 907-7000.

Marshall Dillon Rutherford is licensed to practice in Wisconsin (license number 84497) 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 1235888629.

Contact Information

Marshall Dillon Rutherford, MD
210 Wisconsin American Dr,
Fond Du Lac, WI 54937-2999
(920) 907-7000
Not Available

Map and Direction




Physician's Profile

Full NameMarshall Dillon Rutherford
GenderMale
SpecialityFamily Practice
Experience6 Years
Location210 Wisconsin American Dr, Fond Du Lac, Wisconsin
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:
  • Marshall Dillon Rutherford graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1235888629
  • Provider Enumeration Date: 03/22/2022
  • Last Update Date: 07/23/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6901287267
  • Enrollment ID: I20240916001675

Medical Identifiers

Medical identifiers for Marshall Dillon Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235888629NPI-NPPES
100204160MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 84497 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Medical Ctr OshkoshOshkosh, WIHospital
Edenbrook Of Fond Du LacFond du lac, WINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Advanced Healthcare, Inc.33756258331107
Aurora Medical Group, Inc.67097942583764

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. Marshall Dillon Rutherford allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Marshall Dillon Rutherford 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
Marshall Dillon Rutherford, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250		Marshall Dillon Rutherford, MD
210 Wisconsin American Dr,
Fond Du Lac, WI 54937-2999

Ph: (920) 907-7000

Reviews and Comments


Family Medicine Doctors in Fond Du Lac, WI

Lynda J Kasper, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8200    
Heather Pearson Schmidt, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-8500    Fax: 920-926-8983
Gina M Everson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8200    
William J Brusky, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 145 N Main St, Fond Du Lac, WI 54935
Phone: 920-926-8492    
Marcie Ann Janz, APNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935
Phone: 920-929-8120    Fax: 920-929-8126
Gay D Trepanier, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935
Phone: 920-929-8120    Fax: 920-929-8126
Jamie S Deering, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8420    Fax: 920-926-8907

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.