Jack H Mydlo, MD in Philadelphia, PA

Jack H Mydlo, MD is a medicare enrolled "Urology" physician in Philadelphia, Pennsylvania. He went to State University Of Ny Upstate Medical University and graduated in 1981 and has 43 years of diverse experience with area of expertise as Urology. He is a member of the group practice Temple Faculty Practice Plan Inc and his current practice location is 3401 N Broad St, 3rd Floor Parkinson Pavilion, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 707-3375.

Jack H Mydlo is licensed to practice in Pennsylvania (license number MD071004L) 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 1780672881.

Contact Information

	Jack H Mydlo, MD
	3401 N Broad St, 3rd Floor Parkinson Pavilion, Philadelphia, PA 19140-5103
	(215) 707-3375
	(215) 707-4758

Map and Direction

Physician's Profile

Full Name	Jack H Mydlo
Gender	Male
Speciality	Urology
Experience	43 Years
Location	3401 N Broad St, Philadelphia, Pennsylvania
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:

Jack H Mydlo attended and graduated from State University Of Ny Upstate Medical University in 1981

NPI Data:

NPI Number: 1780672881
Provider Enumeration Date: 10/12/2005
Last Update Date: 03/21/2017

Medicare PECOS Information:

PECOS PAC ID: 8921911306
Enrollment ID: I20031112000028

Medical Identifiers

Medical identifiers for Jack H Mydlo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780672881	NPI	-	NPPES
0078049200001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MD071004L (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Temple University Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Temple Faculty Practice Plan Inc	0345588711	1060

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. Jack H Mydlo allows following entities to bill medicare on his behalf.

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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. Jack H Mydlo 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
Jack H Mydlo, MD 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-3375	Jack H Mydlo, MD 3401 N Broad St, 3rd Floor Parkinson Pavilion, Philadelphia, PA 19140-5103 Ph: (215) 707-3375

Reviews and Comments

Urology Doctors in Philadelphia, PA

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Dr. Jessica Pryor, MD Urology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 800-836-7536
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Patricia Martha Zahner, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1015 Chestnut St, Suite 620, Philadelphia, PA 19107 Phone: 215-955-6864 Fax: 215-955-2878
Alexander Kutikov, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111 Phone: 215-728-6900 Fax: 215-214-1734
Eugene Jon Pietzak, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-5042

Jack H Mydlo, MD - Medicare Urology in Philadelphia, PA