Morgan Rudolph, in Washington, MI - Medicare Occupational Therapist Provider

Morgan Rudolph, is a medicare enrolled "Occupational Therapist" provider in Washington, Michigan. Her current practice location is 65800 Van Dyke Rd, Washington, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 945-4449.

Morgan Rudolph is licensed to practice in Michigan (license number 5201014197) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104501576.

Contact Information

	Morgan Rudolph,
	65800 Van Dyke Rd, Washington, MI 48095-2041
	(586) 945-4449
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Morgan Rudolph
Gender	Female
Speciality	Occupational Therapist
Location	65800 Van Dyke Rd, Washington, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104501576
Provider Enumeration Date: 06/21/2023
Last Update Date: 04/25/2025

Medicare PECOS Information:

PECOS PAC ID: 7719404904
Enrollment ID: I20250512000728

Medical Identifiers

Medical identifiers for Morgan Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104501576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201014197 (Michigan)	Primary

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. Morgan Rudolph allows following entities to bill medicare on her behalf.

Provider Name	Milestones Autism Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780330548 PECOS PAC ID: 6204357775 Enrollment ID: O20250313000382

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. Morgan Rudolph 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
Morgan Rudolph, 8538 Elizabeth Ann St, Shelby Twp, MI 48317-4326 Ph: (586) 248-2307	Morgan Rudolph, 65800 Van Dyke Rd, Washington, MI 48095-2041 Ph: (586) 945-4449

Reviews and Comments

Occupational Therapist in Washington, MI

Pamela Karen Terry Poteete, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11673 Diamond Ln, Washington, MI 48094 Phone: 586-255-5074
Ms. Deanna Lynn Handorf, MHS, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11900 Shire Blvd, Washington, MI 48095 Phone: 586-207-4460 Fax: 586-416-8440
Milestones Autism Center Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 65800 Van Dyke Rd, Washington, MI 48095 Phone: 586-945-4449
Katherine Adkins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8085 Orchardview Dr, Washington, MI 48095 Phone: 586-255-6553
Erin Snyder, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 60735 Apache Ln, Washington, MI 48094 Phone: 586-907-5856
Milestones Autism Center Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 65800 Van Dyke Rd, Washington, MI 48095 Phone: 586-945-4449

Morgan Rudolph, - Medicare Occupational Therapist in Washington, MI