Dr Rudolph Pavlesich Iii, DNP, CRNA, FNP-BC - Medicare Nurse Anesthetist, Certified Registered in Plymouth, NH

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Dr Rudolph Pavlesich Iii, DNP, CRNA, FNP-BC is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plymouth, New Hampshire. His current practice location is 16 Hospital Rd, Plymouth, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 536-1120.

Dr Rudolph Pavlesich Iii is licensed to practice in New Hampshire (license number 074985-23) 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 1609265065.

Contact Information

Dr Rudolph Pavlesich Iii, DNP, CRNA, FNP-BC
16 Hospital Rd,
Plymouth, NH 03264-1126
(603) 536-1120
Not Available

Map and Direction




Provider's Profile

Full NameDr Rudolph Pavlesich Iii
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location16 Hospital Rd, Plymouth, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609265065
  • Provider Enumeration Date: 01/22/2015
  • Last Update Date: 05/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2062731565
  • Enrollment ID: I20150505002084

Medical Identifiers

Medical identifiers for Dr Rudolph Pavlesich Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609265065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 281215 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered ARNP9178468 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 074985-23 (New Hampshire)Primary
363LF0000XNurse Practitioner - Family 2017019797 (Florida)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. Dr Rudolph Pavlesich Iii allows following entities to bill medicare on his behalf.
Entity NameNorth Florida Anesthesia Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346236866
PECOS PAC ID: 7416869565
Enrollment ID: O20031105000664
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameAnesthesiology Professional Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902856891
PECOS PAC ID: 4688577141
Enrollment ID: O20040130000927
Entity NameAmelia Anesthesia Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508103540
PECOS PAC ID: 9436394673
Enrollment ID: O20130318000401
Entity NameSunbelt Anesthesia Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205172079
PECOS PAC ID: 9436392438
Enrollment ID: O20130823000172
Entity NameSongbird Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386161099
PECOS PAC ID: 4486920022
Enrollment ID: O20171025003034

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. Dr Rudolph Pavlesich Iii 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
Dr Rudolph Pavlesich Iii, DNP, CRNA, FNP-BC
89 Stevens Hill Rd,
Nottingham, NH 03290-4802

Ph: (904) 535-1875		Dr Rudolph Pavlesich Iii, DNP, CRNA, FNP-BC
16 Hospital Rd,
Plymouth, NH 03264-1126

Ph: (603) 536-1120

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Plymouth, NH

Mr. Terrance Dean Copsey, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 16 Hospital Rd, Plymouth, NH 03264
Phone: 603-536-1120    
Mary Chau-hanh Pham,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 16 Hospital Rd, Plymouth, NH 03264
Phone: 603-536-1120    
Steven Vincent Ball, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 16 Hospital Rd, Plymouth Anesthesia, Plymouth, NH 03264
Phone: 603-536-1120    Fax: 603-238-6409

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.