Winston Earl Rudder, PAC is a
Physician Assistant based in 29 Palms, California. Winston Earl Rudder is licensed to practice in California (license number PA15830) and his current practice location is
6186 Adobe Rd, 29 Palms, California. He can be reached at his office (for appointments etc.) via phone at
(760) 361-8525.
NPI number for Winston Earl Rudder is 1912122276 and his current mailing address is 6186 Adobe Rd, 29 Palms, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912122276.
Provider's Profile
| Full Name | Winston Earl Rudder |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 6186 Adobe Rd, 29 Palms, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912122276
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 04/17/2025
Medical Identifiers
Medical identifiers for Winston Earl Rudder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912122276 | NPI | - | NPPES |
| 15830 | Other | CA | LICENSE # |
| PA0962 | Other | TX | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA15830 (California) | 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. Winston Earl Rudder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Winston Earl Rudder, PAC
6186 Adobe Rd,
29 Palms, CA 92277-2652
Ph: (760) 361-8525 | Winston Earl Rudder, PAC
6186 Adobe Rd,
29 Palms, CA 92277-2652
Ph: (760) 361-8525 |
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