Paul M Rutkowski Do Pc is a medicare enrolled primary clinic (Internal Medicine) in Dupont, Pennsylvania. The current practice location for Paul M Rutkowski Do Pc is 526 Main St, Dupont, Pennsylvania. For appointments, you can reach them via phone at
(570) 883-8360. The mailing address for Paul M Rutkowski Do Pc is Po Box 1388, Kingston, Pennsylvania and phone number is (570) 288-8881.
Paul M Rutkowski Do Pc is licensed to practice in Pennsylvania (license number OS015467). The clinic also participates in the medicare program and its
NPI number is 1164875464. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(570) 883-8360.
Primary Care Clinic Profile
| Full Name | Paul M Rutkowski Do Pc |
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| Speciality | Internal Medicine |
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| Location | 526 Main St, Dupont, Pennsylvania |
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| Authorized Official Name and Position | Paul M Rutkowski (PRESIDENT) |
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| Authorized Official Contact | 5702853570 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Paul M Rutkowski Do Pc
Po Box 1388
Kingston
PA 18704-0379
Ph: (570) 288-8881 | Paul M Rutkowski Do Pc
526 Main St
Dupont
PA 18641-1452
Ph: (570) 883-8360 |
NPI Details:
| NPI Number | 1164875464 |
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| Provider Enumeration Date | 07/21/2016 |
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| Last Update Date | 07/16/2025 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6608163746 |
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| Medicare Enrollment ID | O20160917000247 |
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Medical Identifiers
Medical identifiers for Paul M Rutkowski Do Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164875464 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | OS015467 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Paul M Rutkowski Do Pc acts as a billing entity for following providers:
| Provider Name | Paul M Rutkowski |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1003078254
PECOS PAC ID: 0840321741
Enrollment ID: I20120503000303 |
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