Melody Rudi, is a medicare enrolled "Anesthesiologist Assistant" physician in Kennesaw, Georgia. She went to Emory University School Of Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Emory Specialty Associates, Llc and her current practice location is
1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at
(985) 722-7993.
Melody Rudi is licensed to practice in Georgia (license number 10618) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104588839.
Physician's Profile
| Full Name | Melody Rudi |
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| Gender | Female |
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| Speciality | Anesthesiology Assistant |
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| Experience | 5 Years |
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| Location | 1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Melody Rudi attended and graduated from Emory University School Of Medicine in 2021
NPI Data:
- NPI Number: 1104588839
- Provider Enumeration Date: 10/11/2021
- Last Update Date: 06/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 9739587197
- Enrollment ID: I20211015000170
Medical Identifiers
Medical identifiers for Melody Rudi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104588839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 10618 (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 10618 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emory Specialty Associates, Llc | 3476559782 | 675 |
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. Melody Rudi allows following entities to bill medicare on her behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503 |
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| Entity Name | Emory Specialty Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447 |
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| Entity Name | Mak Anesthesia Holdings, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563 |
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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. Melody Rudi 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 |
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Melody Rudi,
476 Wilmer St Ne Unit 1113,
Atlanta, GA 30308-2934
Ph: () - | Melody Rudi,
1300 Ridenour Blvd Nw Ste 300,
Kennesaw, GA 30152-4402
Ph: (985) 722-7993 |
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