Raul D Rudelli, MD - Medicare Pathology in West New York, NJ

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Raul D Rudelli, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in West New York, New Jersey. His current practice location is 230 60th St, West New York, New Jersey. You can reach out to his office (for appointments etc.) via phone at (347) 996-9422.

Raul D Rudelli is licensed to practice in New York (license number 143179) 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 1124049671.

Contact Information

Raul D Rudelli, MD
230 60th St,
West New York, NJ 07093-2824
(347) 996-9422
Not Available

Map and Direction




Physician's Profile

Full NameRaul D Rudelli
GenderMale
SpecialityPathology - Clinical Pathology/laboratory Medicine
Location230 60th St, West New York, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124049671
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 02/09/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5698761070
  • Enrollment ID: I20070725000093

Medical Identifiers

Medical identifiers for Raul D Rudelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124049671NPI-NPPES
6404405MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MA39697 (New Jersey)Secondary
207ZP0105XPathology - Clinical Pathology/laboratory Medicine 143179 (New York)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. Raul D Rudelli allows following entities to bill medicare on his behalf.
Entity NameRegional Pathologists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407885056
PECOS PAC ID: 2466448840
Enrollment ID: O20040421001508
Entity NameAdvanced Gastroenterology Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003052549
PECOS PAC ID: 8123185873
Enrollment ID: O20090324000433

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. Raul D Rudelli 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
Raul D Rudelli, MD
230 60th St,
West New York, NJ 07093-2824

Ph: () -		Raul D Rudelli, MD
230 60th St,
West New York, NJ 07093-2824

Ph: (347) 996-9422

Reviews and Comments


Pathology Doctors in West New York, NJ


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.