Dr Jack Avak Tertadian, MD in Cudahy, WI - Medicare Internal Medicine

Dr Jack Avak Tertadian, MD is a medicare enrolled "Internal Medicine" physician in Cudahy, Wisconsin. He went to Medical College Of Wisconsin and graduated in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lakeshore Medical Clinic Llc and his current practice location is 5900 S. Lake Drive, Cudahy, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 489-4190.

Dr Jack Avak Tertadian is licensed to practice in Wisconsin (license number 34176-020) 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 1689780462.

Contact Information

	Dr Jack Avak Tertadian, MD
	5900 S. Lake Drive, Cudahy, WI 53110
	(414) 489-4190
	(414) 489-4015

Map and Direction

Physician's Profile

Full Name	Dr Jack Avak Tertadian
Gender	Male
Speciality	Internal Medicine
Experience	34 Years
Location	5900 S. Lake Drive, Cudahy, Wisconsin
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:

Dr Jack Avak Tertadian attended and graduated from Medical College Of Wisconsin in 1990

NPI Data:

NPI Number: 1689780462
Provider Enumeration Date: 08/22/2006
Last Update Date: 08/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6002859386
Enrollment ID: I20050607001264

Medical Identifiers

Medical identifiers for Dr Jack Avak Tertadian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689780462	NPI	-	NPPES
31953000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	34176-020 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeshore Medical Clinic Llc	7719890730	293

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 Jack Avak Tertadian allows following entities to bill medicare on his behalf.

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

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 Jack Avak Tertadian 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
Dr Jack Avak Tertadian, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Dr Jack Avak Tertadian, MD 5900 S. Lake Drive, Cudahy, WI 53110 Ph: (414) 489-4190

Reviews and Comments

Internal Medicine Doctors in Cudahy, WI

Majdi S. Al Nabulsi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-9000
Asam Khan, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-689-9000
Dr. Mathew George Mathai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S. Lake Dr., Cudahy, WI 53110 Phone: 414-744-4000 Fax: 414-489-4022
Dr. Manila Sodhi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, 2 West, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015
Dr. Arturo Eduardo Eyzaguirre, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-744-4000 Fax: 414-489-4022
Anna M Lamnari, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3533 E Ramsey Avenue, Cudahy, WI 53110 Phone: 414-769-6600 Fax: 414-486-2297
Dr. Paul Aldo Lisi, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Pulmonary And Critical Care, Cudahy, WI 53110 Phone: 414-489-4260 Fax: 414-489-4022

Dr Jack Avak Tertadian, MD - Medicare Internal Medicine in Cudahy, WI