Dr Rudolf W Cisco, DPM - Medicare Podiatrist in Gainesville, GA

Dr Rudolf W Cisco, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Gainesville, Georgia. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Village Podiatry Group Llc and his current practice location is 1224 Sherwood Park Dr Ne, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 287-0606.

Dr Rudolf W Cisco is licensed to practice in Georgia (license number 000596) 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 1043236706.

Contact Information

Dr Rudolf W Cisco, DPM
1224 Sherwood Park Dr Ne,
Gainesville, GA 30501-3445
(770) 287-0606
(770) 287-0159



Healthcare Provider's Profile

Full NameDr Rudolf W Cisco
GenderMale
SpecialityPodiatry
Experience38 Years
Location1224 Sherwood Park Dr Ne, Gainesville, Georgia
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:
  • Dr Rudolf W Cisco graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1043236706
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 01/05/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1557406592
  • Enrollment ID: I20100302000881

Medical Identifiers

Medical identifiers for Dr Rudolf W Cisco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043236706NPI-NPPES
00409274AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 000596 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Barrow Regional Medical CenterWinder, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Village Podiatry Group Llc458764697142

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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. Dr Rudolf W Cisco allows following entities to bill medicare on his behalf.
Provider NameVillage Podiatry Group Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508846718
PECOS PAC ID: 4587646971
Enrollment ID: O20040601000776

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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 Rudolf W Cisco 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 Rudolf W Cisco, DPM
1224 Sherwood Park Dr Ne,
Gainesville, GA 30501-3445

Ph: (770) 287-0606
Dr Rudolf W Cisco, DPM
1224 Sherwood Park Dr Ne,
Gainesville, GA 30501-3445

Ph: (770) 287-0606

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Podiatrist in Gainesville, GA

North Ga Foot And Ankle Spec
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1224 Sherwood Park Dr Ne, Gainesville, GA 30501
Phone: 770-287-0606    
Dr. Gregory Thomas Sutton, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 447 Ee Butler Parkway Floor 1, Gainesville, GA 30501
Phone: 770-796-0005    Fax: 770-796-0006
Gainesville Podiatry Clinic, Inc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1975 Beverly Road, Suite B, Gainesville, GA 30501
Phone: 770-536-9908    Fax: 770-532-7102
Purvi Shaan Shah, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 590 S Enota Dr Ne Ste 1, Gainesville, GA 30501
Phone: 470-252-5756    Fax: 470-252-5756
Malone Foot And Ankle, Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 691 Lanier Park Dr, Suite B, Gainesville, GA 30501
Phone: 770-533-9115    Fax: 770-533-9922
Dr. Patrick M. Qualtire, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-219-9000    

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