Dr Jason Scott Prudom, MD - Medicare Pulmonary Disease in Milwaukee, WI

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Dr Jason Scott Prudom, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Milwaukee, Wisconsin. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Prohealth Medical Group Inc, Midwest Critical Care Sc and his current practice location is 3201 S 16th St Ste 2015, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 649-3810.

Dr Jason Scott Prudom is licensed to practice in Wisconsin (license number 63600-20) 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 1265775993.

Contact Information

Dr Jason Scott Prudom, MD
3201 S 16th St Ste 2015,
Milwaukee, WI 53215-4532
(414) 649-3810
(262) 240-0841

Map and Direction




Physician's Profile

Full NameDr Jason Scott Prudom
GenderMale
SpecialityPulmonary Disease
Experience11 Years
Location3201 S 16th St Ste 2015, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. 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 Jason Scott Prudom graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1265775993
  • Provider Enumeration Date: 04/01/2013
  • Last Update Date: 03/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9739479635
  • Enrollment ID: I20190709000003

Medical Identifiers

Medical identifiers for Dr Jason Scott Prudom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265775993NPI-NPPES
100042547MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 63600-20 (Wisconsin)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 63600-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital
Ascension Se Wisconsin Hospital - St Joseph CampusMilwaukee, WIHospital
Waukesha Memorial HospitalWaukesha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188416
Midwest Critical Care Sc448602680431

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 Jason Scott Prudom allows following entities to bill medicare on his behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameGreater Milwaukee Critical Care And Pulmonary Associates Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952569816
PECOS PAC ID: 0244304558
Enrollment ID: O20080805000542
Entity NameMidwest Critical Care Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093425647
PECOS PAC ID: 4486026804
Enrollment ID: O20230214000166

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 Jason Scott Prudom 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 AddressPractice Location Address
Dr Jason Scott Prudom, MD
Greater Milwaukee Critical Care And Pulmonary Associate, Po Box 070520,
Milwaukee, WI 53207-0520

Ph: (414) 649-3810		Dr Jason Scott Prudom, MD
3201 S 16th St Ste 2015,
Milwaukee, WI 53215-4532

Ph: (414) 649-3810

Reviews and Comments


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Rasika Surajyam Chepuri, M.D.
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Soryal A Soryal, M.D
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Aboud Affi, M.D.
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Practice Location: 1218 W Kilbourn Ave, Suite 404, Milwaukee, WI 53233
Phone: 414-291-3100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.