Rudolf Otrusinik, MD - Medicare Cardiovascular Disease (cardiology) in Logan, UT

Rudolf Otrusinik, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Logan, Utah. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 1300 N 500 E, Suite 320, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 755-8200.

Rudolf Otrusinik is licensed to practice in Utah (license number 95-292310-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003922394.

Contact Information

Rudolf Otrusinik, MD
1300 N 500 E, Suite 320,
Logan, UT 84341-2408
(435) 755-8200
(435) 752-6094



Physician's Profile

Full NameRudolf Otrusinik
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience36 Years
Location1300 N 500 E, Logan, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rudolf Otrusinik graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1003922394
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 08/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4789576406
  • Enrollment ID: I20060116000223

Medical Identifiers

Medical identifiers for Rudolf Otrusinik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003922394NPI-NPPES
581997OtherUTDMBA
87-0569381OtherUTTAX ID
107008634101OtherUTSELECTCARE
805433000MedicaidID
060053972OtherUTRR MEDICARE
53687OtherUTPEHP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 95-292310-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Logan Regional HospitalLogan, UTHospital
Bear River Valley HospitalTremonton, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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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. Rudolf Otrusinik allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079

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Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Rudolf Otrusinik 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
Rudolf Otrusinik, MD
Po Box 27128,
Slc, UT 84127-0128

Ph: (435) 755-8200
Rudolf Otrusinik, MD
1300 N 500 E, Suite 320,
Logan, UT 84341-2408

Ph: (435) 755-8200

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Internal Medicine Doctors in Logan, UT

Harold Vonk, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-716-1980    
Robert M Nash, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1980    
Agnieszka M Szpunar, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1980    
Dr. Stephen J Ferney, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-752-1693    Fax: 435-792-1692
Dr. Stephen Christensen, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 40 W 1250 North Suite 8a, Logan, UT 84341
Phone: 385-244-4020    Fax: 385-244-4022
Ali Ben-jacob, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1281 North 600 East, Logan, UT 84341
Phone: 435-752-5999    Fax: 435-752-5551

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