Dr John Dudley, MD in Crestview, FL - Medicare Internal Medicine

Dr John Dudley, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Crestview, Florida. His current practice location is 129 E Redstone Ave Ste A, Crestview, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 682-7212.

Dr John Dudley is licensed to practice in Florida (license number ME162979) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679923254.

Contact Information

	Dr John Dudley, MD
	129 E Redstone Ave Ste A, Crestview, FL 32539-5350
	(850) 682-7212
	(850) 682-0220

Map and Direction

Physician's Profile

Full Name	Dr John Dudley
Gender	Male
Speciality	Internal Medicine - Interventional Cardiology
Location	129 E Redstone Ave Ste A, Crestview, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679923254
Provider Enumeration Date: 06/15/2016
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9739474842
Enrollment ID: I20230803000177

Medical Identifiers

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

Identifier	Type	State	Issuer
1679923254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	ME162979 (Florida)	Secondary
207R00000X	Internal Medicine	LP03806 (Rhode Island)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	ME162979 (Florida)	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 John Dudley allows following entities to bill medicare on his behalf.

Entity Name	Okaloosa Cardiology P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144270240 PECOS PAC ID: 7315920899 Enrollment ID: O20040608000466

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 John 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
Dr John Dudley, MD 129 E Redstone Ave Ste A, Crestview, FL 32539-5350 Ph: (850) 682-7212	Dr John Dudley, MD 129 E Redstone Ave Ste A, Crestview, FL 32539-5350 Ph: (850) 682-7212

Reviews and Comments

Internal Medicine Doctors in Crestview, FL

Abdul Basit Mir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 E Redstone Ave, Suite 101, Crestview, FL 32539 Phone: 850-682-5174 Fax: 850-689-3653
Helen Ann Preston, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 E Redstone Ave, Suite 110, Crestview, FL 32539 Phone: 850-398-5922 Fax: 850-398-6133
Steven Scott Donchey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 151 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-8100 Fax: 850-689-8484
Farhat Mehmood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 E Redstone Ave Ste A, Crestview, FL 32539 Phone: 850-682-7212 Fax: 850-682-0220
Jason Qualley, MD, CCP,LP Internal Medicine Medicare: Medicare Enrolled Practice Location: 182 E Redstone Ave Ste A, Crestview, FL 32539 Phone: 855-527-7246 Fax: 833-905-2461
Juan Carlos Zarate, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 E Redstone Ave, Suite A, Crestview, FL 32539 Phone: 850-682-7212 Fax: 850-682-6727
Dr. Angel A Nunez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 E Redstone Ave, Crestview, FL 32539 Phone: 850-398-8725 Fax: 850-398-8727

Dr John Dudley, MD - Medicare Internal Medicine in Crestview, FL