Kati K Rush, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Murphysboro, Illinois. Her current practice location is
19 E Shawnee Dr Ste 3, Murphysboro, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 565-1000.
Kati K Rush is licensed to practice in Illinois (license number 016.005763) 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 1710241328.
Healthcare Provider's Profile
| Full Name | Kati K Rush |
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| Gender | Female |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 19 E Shawnee Dr Ste 3, Murphysboro, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710241328
- Provider Enumeration Date: 06/28/2012
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961713730
- Enrollment ID: I20170731001547
Medical Identifiers
Medical identifiers for Kati K Rush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710241328 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 397 (Oklahoma) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.005763 (Illinois) | Primary |
| 213E00000X | Podiatrist | 016.005763 (Illinois) | Secondary |
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. Kati K Rush allows following entities to bill medicare on her behalf.
| Provider Name | Southern Illinois Medical Services Nfp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595 |
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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. Kati K Rush 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 |
|---|
Kati K Rush, DPM
Po Box 3988,
Carbondale, IL 62902-3988
Ph: (618) 457-5200 | Kati K Rush, DPM
19 E Shawnee Dr Ste 3,
Murphysboro, IL 62966
Ph: (618) 565-1000 |
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