Dr Walter Kenneth Rush Iv, MD in Saint Paul, MN - Medicare Psychiatry & Neurology

Dr Walter Kenneth Rush Iv, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Saint Paul, Minnesota. His current practice location is 275 4th St E, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 389-4690.

Dr Walter Kenneth Rush Iv is licensed to practice in Minnesota (license number 45379) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003907155.

Contact Information

	Dr Walter Kenneth Rush Iv, MD
	275 4th St E, Saint Paul, MN 55101-1696
	(651) 389-4690
	(651) 389-4691

Physician's Profile

Full Name	Dr Walter Kenneth Rush Iv
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	275 4th St E, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003907155
Provider Enumeration Date: 09/27/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5597773127
Enrollment ID: I20140605000669

Medical Identifiers

Medical identifiers for Dr Walter Kenneth Rush Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003907155	NPI	-	NPPES
4400606	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	45379 (Minnesota)	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. Dr Walter Kenneth Rush Iv 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
Dr Walter Kenneth Rush Iv, MD 275 4th St E, Saint Paul, MN 55101-1696 Ph: (651) 389-4690	Dr Walter Kenneth Rush Iv, MD 275 4th St E, Saint Paul, MN 55101-1696 Ph: (651) 389-4690

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Psychiatry & Neurology Doctors in Saint Paul, MN

Mark Leon Willenbring, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 745 Victoria St S, Saint Paul, MN 55102 Phone: 202-379-6736
Ellen N Garbo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 45 10th St W, Saint Paul, MN 55102 Phone: 651-232-3640 Fax: 651-232-3632
Betty J Ong, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-325-2121 Fax: 651-325-2122
Dr. Frances S Go, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 360 Sherman St, Suite 100, Saint Paul, MN 55102 Phone: 651-241-5959
Sarah Jane Kottke, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8860
Heather M Berg-patel, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4786 Fax: 651-254-9426

Dr Walter Kenneth Rush Iv, MD - Medicare Psychiatry & Neurology in Saint Paul, MN