Rudolph Obo Addy, MD - Medicare Psychiatry & Neurology in Wyoming, MI

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Rudolph Obo Addy, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Wyoming, Michigan. His current practice location is 2093 Health Dr Sw, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 252-5760.

Rudolph Obo Addy is licensed to practice in Michigan (license number 4301042270) 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 1003839168.

Contact Information

Rudolph Obo Addy, MD
2093 Health Dr Sw,
Wyoming, MI 49519-9691
(616) 252-5760
Not Available

Map and Direction




Physician's Profile

Full NameRudolph Obo Addy
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location2093 Health Dr Sw, Wyoming, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003839168
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 09/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022053669
  • Enrollment ID: I20050623000450

Medical Identifiers

Medical identifiers for Rudolph Obo Addy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003839168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 4301042270 (Michigan)Primary
2084S0012XPsychiatry & Neurology - Sleep Medicine 4301042270 (Michigan)Secondary

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. Rudolph Obo Addy allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811937519
PECOS PAC ID: 5597651836
Enrollment ID: O20040507000012
Entity NameAdvantage Health/saint Mary's Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376862151
PECOS PAC ID: 4082807961
Enrollment ID: O20101023000279

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. Rudolph Obo Addy 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
Rudolph Obo Addy, MD
5900 Byron Center Ave Sw,
Wyoming, MI 49519-9606

Ph: () -		Rudolph Obo Addy, MD
2093 Health Dr Sw,
Wyoming, MI 49519-9691

Ph: (616) 252-5760

Reviews and Comments


Psychiatry & Neurology Doctors in Wyoming, MI

Oskar Amadeusz Wielgus, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2093 Health Dr Sw, Wyoming, MI 49519
Phone: 616-252-7264    
Dr. Fazeel Mukhtar Siddiqui, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519
Phone: 616-252-7200    
Paul G Wasielewski, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2122 Health Drive Sw, Wyoming, MI 49519
Phone: 616-252-5790    Fax: 616-252-5793
Christine Elizabeth Larkin, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2215 44th St Sw, Wyoming, MI 49519
Phone: 616-252-4560    
Jordan Taylor, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519
Phone: 616-252-5790    Fax: 616-252-5793
Aubrey Marie Kuehnel, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2093 Health Dr Sw Ste 302, Wyoming, MI 49519
Phone: 616-252-7264    

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.