| Paul M Rudy, MD | |
|
110 S Depot St, Annawan, IL 61234-7768 | |
| (309) 944-5124 | |
| (309) 721-1407 |
| Full Name | Paul M Rudy |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 39 Years |
| Location | 110 S Depot St, Annawan, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093794745 | NPI | - | NPPES |
| 0360755522 | Medicaid | IL | |
| 1093794745 | Medicaid | IA | |
| 080177763 | Other | IL | RR MEDICARE |
| 036075552 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036075553 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Recover Health Of Wisconsin Inc | Baraboo, WI | Home health agency |
| Hospice Touch | Tomah, WI | Hospice |
| Mile Bluff Medical Center | Mauston, WI | Hospital |
| Fair View Nursing And Rehabilitation Center | Mauston, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mile Bluff Medical Center Inc | 8527971399 | 74 |
| Mile Bluff Medical Center Inc | 8527971399 | 74 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul M Rudy, MD 110 S Depot St, Annawan, IL 61234-7768 Ph: (309) 944-5124 | Paul M Rudy, MD 110 S Depot St, Annawan, IL 61234-7768 Ph: (309) 944-5124 |
Randall L Mullin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 S Depot St, Annawan, IL 61234 Phone: 309-944-5124 Fax: 309-721-1407 |