Sara Grace Rudnik, CPNP-RNC-NIC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Brodenton, Florida. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pediatric Physician Services, Inc. and her current practice location is
5255 Office Park Blvd, Suite 110, Brodenton, Florida. You can reach out to her office (for appointments etc.) via phone at
(941) 755-7000.
Sara Grace Rudnik is licensed to practice in Florida (license number ARNP9441496) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154704484.
Provider's Profile
| Full Name | Sara Grace Rudnik |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 5255 Office Park Blvd, Brodenton, Florida |
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| Accepts Medicare Assignments | Yes. She 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:
- Sara Grace Rudnik graduated from nursing school in 2016
NPI Data:
- NPI Number: 1154704484
- Provider Enumeration Date: 07/06/2015
- Last Update Date: 11/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870069214
- Enrollment ID: I20260414002693
Medical Identifiers
Medical identifiers for Sara Grace Rudnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154704484 | NPI | - | NPPES |
| 019008500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 382602 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9441496 (Florida) | Primary |
| 163WN0002X | Registered Nurse - Neonatal Intensive Care | 684424 (New York) | Secondary |
| 163WN0002X | Registered Nurse - Neonatal Intensive Care | RN9441496 (Florida) | Secondary |
| 163WP0200X | Registered Nurse - Pediatrics | 684424 (New York) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pediatric Physician Services, Inc. | 7113989849 | 200 |
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. Sara Grace Rudnik allows following entities to bill medicare on her behalf.
| Entity Name | Pediatric Physician Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770532798
PECOS PAC ID: 7113989849
Enrollment ID: O20041103001044 |
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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. Sara Grace Rudnik 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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Sara Grace Rudnik, CPNP-RNC-NIC
5255 Office Park Blvd, Suite 110,
Brodenton, FL 34203
Ph: (941) 755-7000 | Sara Grace Rudnik, CPNP-RNC-NIC
5255 Office Park Blvd, Suite 110,
Brodenton, FL 34203
Ph: (941) 755-7000 |
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