Rudolph Carlo King, MD - Medicare Obstetrics & Gynecology in Paoli, IN

Rudolph Carlo King, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Paoli, Indiana. His current practice location is 642 W Hospital Rd, Paoli, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 723-7450.

Rudolph Carlo King is licensed to practice in Indiana (license number 01091543A) 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 1194797555.

Contact Information

Rudolph Carlo King, MD
642 W Hospital Rd,
Paoli, IN 47454-9672
(812) 723-7450
(812) 723-7508



Physician's Profile

Full NameRudolph Carlo King
GenderMale
SpecialityObstetrics & Gynecology
Location642 W Hospital Rd, Paoli, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194797555
  • Provider Enumeration Date: 02/01/2006
  • Last Update Date: 04/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688820087
  • Enrollment ID: I20150929000388

Medical Identifiers

Medical identifiers for Rudolph Carlo King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194797555NPI-NPPES
2019914MedicaidNV
3102914MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 8287 (Nevada)Secondary
207V00000XObstetrics & Gynecology 01091543A (Indiana)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. Rudolph Carlo King allows following entities to bill medicare on his behalf.
Entity NameSouthside Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235123993
PECOS PAC ID: 6901700723
Enrollment ID: O20031212000357

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Entity NameGriffin Obgyn Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558415919
PECOS PAC ID: 6800789041
Enrollment ID: O20040203000590

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Entity NameAzalea Womens Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710194097
PECOS PAC ID: 7517952302
Enrollment ID: O20040420000423

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Entity NameLife Cycle Obgyn, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467664276
PECOS PAC ID: 3173512126
Enrollment ID: O20040506001153

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Entity NameSouthern Ob Gyn Associates P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801951454
PECOS PAC ID: 8729059043
Enrollment ID: O20040802000950

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Entity NameRobert T Stark Md,pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053342774
PECOS PAC ID: 5799798880
Enrollment ID: O20060712000199

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Entity NameObhg Georgia, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750686838
PECOS PAC ID: 9032383583
Enrollment ID: O20111117000602

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Entity NameSgmc Physician Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417597170
PECOS PAC ID: 4082036843
Enrollment ID: O20201015000629

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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. Rudolph Carlo King 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
Rudolph Carlo King, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
Rudolph Carlo King, MD
642 W Hospital Rd,
Paoli, IN 47454-9672

Ph: (812) 723-7450

News Archive

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Colorado State University's Infectious Disease Research Center was recognized as the 2019 Bioscience/ Medical Manufacturer of the Year at the Colorado Manufacturing Awards on April 4 in Denver.

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› Verified 1 days ago


Obstetrics & Gynecology Doctors in Paoli, IN

Michael Norton Becker, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 642 W Hospital Rd, Paoli, IN 47454
Phone: 812-723-7450    Fax: 812-723-7508

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