Phillip Robert Rutledge, PA is a medicare enrolled "Physician Assistant" in Kemmerer, Wyoming. He went to Wake Forest University School Of Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice South Lincoln Hospital District, Draper Dermatology Pc and his current practice location is
711 Onyx St, Kemmerer, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 877-4401.
Phillip Robert Rutledge is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619592953.
Provider's Profile
| Full Name | Phillip Robert Rutledge |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 711 Onyx St, Kemmerer, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Phillip Robert Rutledge attended and graduated from Wake Forest University School Of Medicine in 2020
NPI Data:
- NPI Number: 1619592953
- Provider Enumeration Date: 06/12/2020
- Last Update Date: 10/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921418948
- Enrollment ID: I20201103001627
Medical Identifiers
Medical identifiers for Phillip Robert Rutledge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619592953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| South Lincoln Hospital District | 2961490057 | 10 |
| Draper Dermatology Pc | 4688928526 | 6 |
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. Phillip Robert Rutledge 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 |
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Phillip Robert Rutledge, PA
711 Onyx St,
Kemmerer, WY 83101-3214
Ph: (307) 877-4496 | Phillip Robert Rutledge, PA
711 Onyx St,
Kemmerer, WY 83101-3214
Ph: (307) 877-4401 |
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