Gordon Davis Rudell, PT in East Ridge, TN - Medicare Physical Therapist Provider

Gordon Davis Rudell, PT is a medicare enrolled "Physical Therapist" provider in East Ridge, Tennessee. His current practice location is 1467 N Mack Smith Rd, East Ridge, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 894-4403.

Gordon Davis Rudell is licensed to practice in Tennessee (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821463183.

Contact Information

	Gordon Davis Rudell, PT
	1467 N Mack Smith Rd, East Ridge, TN 37412-3947
	(423) 894-4403
	(423) 894-4513

Map and Direction

Healthcare Provider's Profile

Full Name	Gordon Davis Rudell
Gender	Male
Speciality	Physical Therapist
Location	1467 N Mack Smith Rd, East Ridge, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821463183
Provider Enumeration Date: 12/11/2015
Last Update Date: 12/11/2015

Medicare PECOS Information:

PECOS PAC ID: 7618269713
Enrollment ID: I20160711001784

Medical Identifiers

Medical identifiers for Gordon Davis Rudell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821463183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Tennessee)	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. Gordon Davis Rudell allows following entities to bill medicare on his behalf.

Provider Name	Independent Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202

Provider Name	East Tennessee Spine & Sport Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023101144 PECOS PAC ID: 8820013139 Enrollment ID: O20051005001207

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. Gordon Davis Rudell 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
Gordon Davis Rudell, PT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217	Gordon Davis Rudell, PT 1467 N Mack Smith Rd, East Ridge, TN 37412-3947 Ph: (423) 894-4403

Reviews and Comments

Physical Therapist in East Ridge, TN

Kimberly Sue Strickland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1467 N Mack Smith Rd, East Ridge, TN 37412 Phone: 423-894-4403 Fax: 423-894-4513
Kurtisha Norris, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1467 N Mack Smith Rd, East Ridge, TN 37412 Phone: 423-894-4403 Fax: 423-894-4513
Lindsay Robinson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1467 N Mack Smith Rd, East Ridge, TN 37412 Phone: 423-894-4403 Fax: 423-894-4513
Jessie Higgins, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1417 N Mack Smith Rd, East Ridge, TN 37412 Phone: 423-899-6370
Katelyn Joan Renard, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1467 N Mack Smith Rd, East Ridge, TN 37412 Phone: 423-894-4403 Fax: 423-894-4513
Elizabeth Masengil, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1467 N Mack Smith Rd, East Ridge, TN 37412 Phone: 423-894-4403
Cameron Gilfillan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1467 N Mack Smith Rd, East Ridge, TN 37412 Phone: 423-894-4403 Fax: 423-894-4515

Gordon Davis Rudell, PT - Medicare Physical Therapist in East Ridge, TN