Dr Pradyuman M Chudasama, MD in Port Orange, FL

Dr Pradyuman M Chudasama, MD is a medicare enrolled "Internal Medicine" physician in Port Orange, Florida. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Conviva Medical Center Management, Llc and his current practice location is 3641 Clyde Morris Blvd Ste 100, Port Orange, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 675-4410.

Dr Pradyuman M Chudasama is licensed to practice in Florida (license number ME66912) 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 1306827027.

Contact Information

	Dr Pradyuman M Chudasama, MD
	3641 Clyde Morris Blvd Ste 100, Port Orange, FL 32129-2357
	(386) 675-4410
	(866) 542-5859

Map and Direction

Physician's Profile

Full Name	Dr Pradyuman M Chudasama
Gender	Male
Speciality	Internal Medicine
Experience	38 Years
Location	3641 Clyde Morris Blvd Ste 100, Port Orange, 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:

Dr Pradyuman M Chudasama graduated from medical school in 1986

NPI Data:

NPI Number: 1306827027
Provider Enumeration Date: 11/09/2005
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 8729115365
Enrollment ID: I20100429001048

Medical Identifiers

Medical identifiers for Dr Pradyuman M Chudasama such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306827027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME66912 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conviva Medical Center Management, Llc	4284717422	346

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 Pradyuman M Chudasama allows following entities to bill medicare on his behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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 Pradyuman M Chudasama 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 Pradyuman M Chudasama, MD 6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051 Ph: () -	Dr Pradyuman M Chudasama, MD 3641 Clyde Morris Blvd Ste 100, Port Orange, FL 32129-2357 Ph: (386) 675-4410

Reviews and Comments

Internal Medicine Doctors in Port Orange, FL

Vrushak Deshpande, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802
Andrea Soledad Pagan, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802
Dr. Gregory J. Stella, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-788-4255
Hardik Shah, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242
Souheil Moussly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3890 Turtle Creek Dr, Port Orange, FL 32129 Phone: 386-756-4400 Fax: 386-756-3031
Robert Morris Harpold, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3953 S Nova Rd Ste B, Port Orange, FL 32127 Phone: 386-788-4911 Fax: 844-388-6186
Dr. Ashraf S Elsakr, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 Dunlawton Ave, Ste A, Port Orange, FL 32127 Phone: 386-304-9672 Fax: 386-304-9673

Dr Pradyuman M Chudasama, MD - Medicare Internal Medicine in Port Orange, FL