Anne Dudley, DO in Stevensville, MI

Anne Dudley, DO is a medicare enrolled "Pediatrics" physician in Stevensville, Michigan. Her current practice location is 5515 Cleveland Ave, Stevensville, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 429-6604.

Anne Dudley is licensed to practice in Michigan (license number 5101018463) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588893283.

Contact Information

	Anne Dudley, DO
	5515 Cleveland Ave, Stevensville, MI 49127-9670
	(269) 429-6604
	(269) 429-1715

Map and Direction

Physician's Profile

Full Name	Anne Dudley
Gender	Female
Speciality	Pediatrics
Location	5515 Cleveland Ave, Stevensville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588893283
Provider Enumeration Date: 07/02/2009
Last Update Date: 02/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5395994537
Enrollment ID: I20121004000147

Medical Identifiers

Medical identifiers for Anne Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588893283	NPI	-	NPPES
1588893283	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	5101018463 (Michigan)	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. Anne Dudley allows following entities to bill medicare on her behalf.

Entity Name	Lakeland Medical Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216

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. Anne Dudley 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
Anne Dudley, DO 5515 Cleveland Ave, Stevensville, MI 49127-9670 Ph: (269) 429-6604	Anne Dudley, DO 5515 Cleveland Ave, Stevensville, MI 49127-9670 Ph: (269) 429-6604

Reviews and Comments

Pediatrics Doctors in Stevensville, MI

Stephanie C Welch, PA Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715
Dr. Heather A Marten, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715
Dr. Georg C Schultz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-9644 Fax: 269-429-4002
Dr. Barton L Comstock, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715
Dr. Frederick A Johansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715
Dr. Anna Simpson-o'reggio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave Ste 1, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 239-658-3070

Anne Dudley, DO - Medicare Pediatrics in Stevensville, MI