Dr Stephen Joseph Pruden, DC is a medicare enrolled "Chiropractor" provider in Roslyn, New York. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Chiropractic. His current practice location is
55 Bryant Ave, 2nd Floor, Roslyn, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 626-3965.
Dr Stephen Joseph Pruden is licensed to practice in New York (license number X4234-1) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1144236019.
Healthcare Provider's Profile
| Full Name | Dr Stephen Joseph Pruden |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 40 Years |
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| Location | 55 Bryant Ave, Roslyn, New York |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Stephen Joseph Pruden graduated from medical school in 1984
NPI Data:
- NPI Number: 1144236019
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204842339
- Enrollment ID: I20060228000187
Medical Identifiers
Medical identifiers for Dr Stephen Joseph Pruden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144236019 | NPI | - | NPPES |
| X4234-1 | Other | NY | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | X4234-1 (New York) | 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. Dr Stephen Joseph Pruden allows following entities to bill medicare on his behalf.
| Provider Name | Stephen Pruden Dc Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1215032719
PECOS PAC ID: 8426064544
Enrollment ID: O20070130000125 |
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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 Stephen Joseph Pruden 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 |
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Dr Stephen Joseph Pruden, DC
55 Bryant Ave, 2nd Floor,
Roslyn, NY 11576-1137
Ph: (516) 626-3965 | Dr Stephen Joseph Pruden, DC
55 Bryant Ave, 2nd Floor,
Roslyn, NY 11576-1137
Ph: (516) 626-3965 |
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