Michiel Brent Rudder, FNP MSW - Medicare Family Medicine in Bolivar, TN

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Michiel Brent Rudder, FNP MSW is a medicare enrolled "Family Medicine" physician in Bolivar, Tennessee. His current practice location is 622 West Market Street, Bolivar, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 658-4500.

Michiel Brent Rudder is licensed to practice in Tennessee (license number RN131561) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841287109.

Contact Information

Michiel Brent Rudder, FNP MSW
622 West Market Street,
Bolivar, TN 38008
(731) 658-4500
(731) 658-4545

Map and Direction




Physician's Profile

Full NameMichiel Brent Rudder
GenderMale
SpecialityFamily Medicine
Location622 West Market Street, Bolivar, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841287109
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103013917
  • Enrollment ID: I20101206001018

Medical Identifiers

Medical identifiers for Michiel Brent Rudder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841287109NPI-NPPES
3909409MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine RN131561 (Tennessee)Primary

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. Michiel Brent Rudder allows following entities to bill medicare on his behalf.
Entity NamePhysicians Quality Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528240256
PECOS PAC ID: 4385728518
Enrollment ID: O20080227000370

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. Michiel Brent Rudder 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
Michiel Brent Rudder, FNP MSW
Po Box 11567,
Jackson, TN 38308-0126

Ph: (731) 661-0086		Michiel Brent Rudder, FNP MSW
622 West Market Street,
Bolivar, TN 38008

Ph: (731) 658-4500

Reviews and Comments


Family Medicine Doctors in Bolivar, TN

Dr. Robert Wayne Dunavant, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-7111    Fax: 731-658-4328
Dr. John Lee Blankenship, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Dr. Samuel Terry Johnson Jr., M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Lawrence Diaz, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Olufemi E Soyinka, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Dr. Nithyananda Pakkala, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 630 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-6011    Fax: 731-658-9884
Mrs. Holly Brooke Shourd, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1359 W Market St., Bolivar, TN 38008
Phone: 731-361-1003    

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.