Mr Craig J Rudolph, PA in Bay Shore, NY - Medicare Physician Assistant

Mr Craig J Rudolph, PA is a medicare enrolled "Physician Assistant" in Bay Shore, New York. His current practice location is 301 E Main St, Bay Shore, New York. You can reach out to his office (for appointments etc.) via phone at (631) 968-3000.

Mr Craig J Rudolph is licensed to practice in New York (license number 003171) 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 1083632186.

Contact Information

	Mr Craig J Rudolph, PA
	301 E Main St, Bay Shore, NY 11706-8408
	(631) 968-3000
	Not Available

Provider's Profile

Full Name	Mr Craig J Rudolph
Gender	Male
Speciality	Physician Assistant
Location	301 E Main St, Bay Shore, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083632186
Provider Enumeration Date: 07/17/2006
Last Update Date: 10/09/2007

Medicare PECOS Information:

PECOS PAC ID: 3072686013
Enrollment ID: I20080723000752

Medical Identifiers

Medical identifiers for Mr Craig J Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083632186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	003171 (New York)	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. Mr Craig J 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
Mr Craig J Rudolph, PA 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3000	Mr Craig J Rudolph, PA 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3000

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Physician Assistant Nurses in Bay Shore, NY

Priyanshi Chandiwala, Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Erik Schaeperkoetter, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Elizabeth Scuderi, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1555 Sunrise Hwy, Bay Shore, NY 11706 Phone: 631-968-0588
Mrs. Deborah Anne Maresca-palmieri, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Ms. Sonya Reid, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Ms. Lisa Ann Morris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Danielle Sophia Mirabella, Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000

Mr Craig J Rudolph, PA - Medicare Physician Assistant in Bay Shore, NY