Mr Rudolph Daniel Vidi, PT, MPT is a medicare enrolled "Physical Therapist" provider in Little Egg Harbor, New Jersey. He graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Ivyrehab Network Inc and his current practice location is
279 Mathison Road, Southern Ocean Center For Health At Little Egg Harbor, Little Egg Harbor, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 294-4006.
Mr Rudolph Daniel Vidi is licensed to practice in New Jersey (license number 40QA01130800) 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 1174582662.
Healthcare Provider's Profile
| Full Name | Mr Rudolph Daniel Vidi |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 34 Years |
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| Location | 279 Mathison Road, Little Egg Harbor, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Rudolph Daniel Vidi graduated from medical school in 1992
NPI Data:
- NPI Number: 1174582662
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8022194075
- Enrollment ID: I20080401000060
Medical Identifiers
Medical identifiers for Mr Rudolph Daniel Vidi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174582662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 40QA01130800 (New Jersey) | Primary |
| 225100000X | Physical Therapist | 6989 (Washington) | Secondary |
| 225100000X | Physical Therapist | 2366 (Arizona) | Secondary |
| 225100000X | Physical Therapist | 23864 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ivyrehab Network Inc | 3476539776 | 551 |
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. Mr Rudolph Daniel Vidi allows following entities to bill medicare on his behalf.
| Provider Name | Ivyrehab Network Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1174577274
PECOS PAC ID: 3476539776
Enrollment ID: O20040628000865 |
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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. Mr Rudolph Daniel Vidi 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 |
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Mr Rudolph Daniel Vidi, PT, MPT
1296 E Bay Ave,
Manahawkin, NJ 08050-3942
Ph: (609) 978-1623 | Mr Rudolph Daniel Vidi, PT, MPT
279 Mathison Road, Southern Ocean Center For Health At Little Egg Harbor,
Little Egg Harbor, NJ 08087
Ph: (609) 294-4006 |
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