Dr Paul Allen Pudimat, MD is a medicare enrolled "Anesthesiology" physician in Salem, Connecticut. His current practice location is
61 Emerald Glen Rd, Salem, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 887-9053.
Dr Paul Allen Pudimat is licensed to practice in Connecticut (license number 037393) 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 1669450102.
Physician's Profile
| Full Name | Dr Paul Allen Pudimat |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 61 Emerald Glen Rd, Salem, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Paul Allen Pudimat attended and graduated from in
NPI Data:
- NPI Number: 1669450102
- Provider Enumeration Date: 01/05/2006
- Last Update Date: 03/13/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Paul Allen Pudimat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669450102 | NPI | - | NPPES |
| 001573935 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 037393 (Connecticut) | Primary |
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 Paul Allen Pudimat 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 |
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Dr Paul Allen Pudimat, MD
3998 Fair Ridge Drive, Suite 300,
Fairfax, VA 22033
Ph: (703) 295-9360 | Dr Paul Allen Pudimat, MD
61 Emerald Glen Rd,
Salem, CT 06420-4123
Ph: (860) 887-9053 |
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