Carla Rudolph, DO in Edgewood, NM - Medicare

Carla Rudolph, DO is a medicare enrolled "General Practice" physician in Edgewood, New Mexico. Her current practice location is 1851 Old Us 66, Edgewood, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 286-2396.

Carla Rudolph is licensed to practice in New Mexico (license number A-1770-13) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104182328.

Contact Information

	Carla Rudolph, DO
	1851 Old Us 66, Edgewood, NM 87015-7200
	(505) 286-2396
	Not Available

Physician's Profile

Full Name	Carla Rudolph
Gender	Female
Speciality
Experience	Years
Location	1851 Old Us 66, Edgewood, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carla Rudolph attended and graduated from in

NPI Data:

NPI Number: 1104182328
Provider Enumeration Date: 04/02/2012
Last Update Date: 05/04/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Carla Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104182328	NPI	-	NPPES
1104182328	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	A-1770-13 (New Mexico)	Primary

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. Carla Rudolph 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
Carla Rudolph, DO 1851 Old Us 66, Edgewood, NM 87015-7200 Ph: (505) 286-2396	Carla Rudolph, DO 1851 Old Us 66, Edgewood, NM 87015-7200 Ph: (505) 286-2396

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Carla Rudolph, DO - Medicare in Edgewood, NM