Andrew C Rutherford, PA-C is a medicare enrolled "Physician Assistant - Medical" in Cadiz, Kentucky. His current practice location is
250 Main St, Suite A, Cadiz, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 522-3444.
Andrew C Rutherford is licensed to practice in * (Not Available) (license number ) 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 1629487301.
Provider's Profile
| Full Name | Andrew C Rutherford |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 250 Main St, Cadiz, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629487301
- Provider Enumeration Date: 08/07/2014
- Last Update Date: 11/12/2015
Medicare PECOS Information:
- PECOS PAC ID: 2961623103
- Enrollment ID: I20141031001366
Medical Identifiers
Medical identifiers for Andrew C Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629487301 | NPI | - | NPPES |
| PA1945 | Other | KY | STATE LICENSE |
| 1120392 | Other | | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA1945 (Kentucky) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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. Andrew C Rutherford 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 |
Andrew C Rutherford, PA-C 4208 Victoria Way, Lexington, KY 40515-4822 Ph: (270) 522-3444 | Andrew C Rutherford, PA-C 250 Main St, Suite A, Cadiz, KY 42211-9153 Ph: (270) 522-3444 |
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