Charles Howell Pruden Iv, MD in Jacksonville, FL

Charles Howell Pruden Iv, MD is a medicare enrolled "Urology" physician in Jacksonville, Florida. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Urology. He is a member of the group practice Florida Physician Specialists Llc and his current practice location is 710 Lomax St, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 355-6583.

Charles Howell Pruden Iv is licensed to practice in Florida (license number ME86675) 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 1457492233.

Contact Information

	Charles Howell Pruden Iv, MD
	710 Lomax St, Jacksonville, FL 32204-4004
	(904) 355-6583
	(904) 355-4922

Map and Direction

Physician's Profile

Full Name	Charles Howell Pruden Iv
Gender	Male
Speciality	Urology
Experience	26 Years
Location	710 Lomax St, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Howell Pruden Iv graduated from medical school in 1998

NPI Data:

NPI Number: 1457492233
Provider Enumeration Date: 02/12/2007
Last Update Date: 05/08/2008

Medicare PECOS Information:

PECOS PAC ID: 9234200940
Enrollment ID: I20080623000571

Medical Identifiers

Medical identifiers for Charles Howell Pruden Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457492233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	ME86675 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Physician Specialists Llc	4486806213	35

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. Charles Howell Pruden Iv allows following entities to bill medicare on his behalf.

Entity Name	Florida Physician Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588917108 PECOS PAC ID: 4486806213 Enrollment ID: O20121130000298

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. Charles Howell Pruden Iv 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
Charles Howell Pruden Iv, MD 710 Lomax St, Jacksonville, FL 32204-4004 Ph: (904) 355-6583	Charles Howell Pruden Iv, MD 710 Lomax St, Jacksonville, FL 32204-4004 Ph: (904) 355-6583

Reviews and Comments

Urology Doctors in Jacksonville, FL

Amanda Elizabeth Kahn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Yeonsoo Sara Lee, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Eric Alee Vance Qualkenbush, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Sarah Jessica Hampton, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Daniela Andrea Haehn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Charles Gary Cobb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 Fax: 904-355-4922
Gregory Broderick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Charles Howell Pruden Iv, MD - Medicare Urology in Jacksonville, FL