Thomas Rudisill, in Salem, OR - Medicare Nurse Practitioner

Thomas Rudisill, is a medicare enrolled "Nurse Practitioner - Family" in Salem, Oregon. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Salem Health and his current practice location is 5050 Skyline Village Loop S, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 391-1110.

Thomas Rudisill is licensed to practice in Oregon (license number 202114701NP-PP) 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 1174283584.

Contact Information

	Thomas Rudisill,
	5050 Skyline Village Loop S, Salem, OR 97306-9490
	(503) 391-1110
	Not Available

Map and Direction

Provider's Profile

Full Name	Thomas Rudisill
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	5050 Skyline Village Loop S, Salem, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Thomas Rudisill graduated from nursing school in 2019

NPI Data:

NPI Number: 1174283584
Provider Enumeration Date: 12/27/2021
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0840683298
Enrollment ID: I20220207001297

Medical Identifiers

Medical identifiers for Thomas Rudisill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174283584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	202114701NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
First Call Home Health Agency, Llc	Salem, OR	Home health agency
West Valley Hospital	Dallas, OR	Hospital
Salem Hospital	Salem, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Salem Health	8628986668	435

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. Thomas Rudisill allows following entities to bill medicare on his behalf.

Entity Name	Salem Health West Valley
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830

Entity Name	Salem Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131

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. Thomas Rudisill 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
Thomas Rudisill, 5050 Skyline Village Loop S, Salem, OR 97306-9490 Ph: (503) 391-1110	Thomas Rudisill, 5050 Skyline Village Loop S, Salem, OR 97306-9490 Ph: (503) 391-1110

Reviews and Comments

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Lisa Renee Bennett, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Liberty St Ne, Salem, OR 97301 Phone: 503-581-6550 Fax: 503-581-4755
Curtis B Gill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-561-5554
Mr. Matthew David Piehler, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Silverton Rd Ne Ste B, Salem, OR 97301 Phone: 503-588-5351
Ms. Sharon L Espersen, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-585-5585 Fax: 503-587-7823

Thomas Rudisill, - Medicare Nurse Practitioner in Salem, OR