MEDICARE: DR. ROBERT L RUSCHE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01033818A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110020143	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437152808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT L RUSCHE MD

Provider Business Mailing Address
First Line	:	PO BOX 1230
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47706-1230
Country	:	US
Telephone Number	:	812-424-4602
Fax Number	:	812-421-5147

Provider Business Practice Location Address
First Line	:	1750 OAK HILL RD
Second Line	:	STE 100
City	:	EVANSVILLE
State	:	IN
Zip	:	47711-4364
Country	:	US
Telephone Number	:	812-424-4602
Fax Number	:	812-421-5147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/31/2015

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