| Dr Chase Aaron Rudolph, OD | |
|
3121 S Park Ave, Herrin, IL 62948-3785 | |
| (618) 942-5465 | |
| Not Available |
| Full Name | Dr Chase Aaron Rudolph |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 15 Years |
| Location | 3121 S Park Ave, Herrin, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457663809 | NPI | - | NPPES |
| 046010332 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046010332 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Complete Family Eyecare Pc | 3274729033 | 3 |
| Provider Name | Complete Family Eyecare Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104131168 PECOS PAC ID: 3274729033 Enrollment ID: O20101119000400 |
| Provider Name | Complete Family Eyecare Of Carbondale Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518413863 PECOS PAC ID: 2961783360 Enrollment ID: O20161222001600 |
| Provider Name | Complete Family Eyecare Of West Frankfort Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669989281 PECOS PAC ID: 3476816240 Enrollment ID: O20180409000325 |
| Provider Name | Complete Family Eyecare Of Marion Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619621398 PECOS PAC ID: 9032596127 Enrollment ID: O20220511000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chase Aaron Rudolph, OD 3121 S Park Ave., Herrin, IL 62948 Ph: (618) 942-5465 | Dr Chase Aaron Rudolph, OD 3121 S Park Ave, Herrin, IL 62948-3785 Ph: (618) 942-5465 |
Complete Family Eyecare, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3121 S Park Ave, Herrin, IL 62948 Phone: 618-942-5465 Fax: 618-942-7042 | |
Michaelis Jackson & Associates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Lincoln Dr, Suite A, Herrin, IL 62948 Phone: 618-351-8900 Fax: 618-351-0076 | |
William Fix, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 321 S Park Ave, Herrin, IL 62948 Phone: 618-942-2900 Fax: 618-942-4199 | |
Dr. Kelly Davis, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Lincoln Dr, Suite A, Herrin, IL 62948 Phone: 618-351-8900 Fax: 618-351-0076 | |
Paul C Jacobs Trevor Crabtree Ptr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 223 N Park Ave, Herrin, IL 62948 Phone: 618-942-6887 Fax: 618-988-1209 | |
Dr. Andrew Thomas Dust, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3121 S Park Ave, Herrin, IL 62948 Phone: 618-942-5465 |