Dr Kim Ann Rutherford, MD - Medicare Pediatrics in Mineola, NY

Dr Kim Ann Rutherford, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Mineola, New York. Her current practice location is 259 1st St, Mineola, New York. You can reach out to her office (for appointments etc.) via phone at (717) 531-8955.

Dr Kim Ann Rutherford is licensed to practice in Pennsylvania (license number MD417166) 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 1013102649.

Contact Information

Dr Kim Ann Rutherford, MD
259 1st St,
Mineola, NY 11501-3957
(717) 531-8955
Not Available



Physician's Profile

Full NameDr Kim Ann Rutherford
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
Location259 1st St, Mineola, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013102649
  • Provider Enumeration Date: 09/06/2007
  • Last Update Date: 03/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183713597
  • Enrollment ID: I20091218000311

Medical Identifiers

Medical identifiers for Dr Kim Ann Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013102649NPI-NPPES
169184OtherPAMEDICARE
001868391MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 37476 (Arizona)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 37476 (Arizona)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine MD417166 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kim Ann Rutherford allows following entities to bill medicare on her behalf.
Entity NameSchc Pediatric Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255363578
PECOS PAC ID: 0648179432
Enrollment ID: O20040226000401

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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. Dr Kim Ann Rutherford 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 AddressPractice Location Address
Dr Kim Ann Rutherford, MD
259 1st St,
Mineola, NY 11501-3957

Ph: () -
Dr Kim Ann Rutherford, MD
259 1st St,
Mineola, NY 11501-3957

Ph: (717) 531-8955

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Pediatrics Doctors in Mineola, NY

Manisha Sakore, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-3853    Fax: 516-663-8955
Dr. Louise Marie Castiglia, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 156 First Street, Mineola, NY 11501
Phone: 516-741-4082    
Estela De Los Angeles Noyola, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 259 1st St Dept Of, Mineola, NY 11501
Phone: 516-663-2288    Fax: 516-663-8955
Kaitlin Boehm, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-8766    
Dr. Julie Weiser-shlefstein, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 200 County Seat Drive, Mineola, NY 11501
Phone: 516-227-9501    Fax: 517-227-9644
Rolando Capati Guevarra, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 222 Station Plz N, Suite 408, Mineola, NY 11501
Phone: 516-663-8534    Fax: 516-663-8297

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