Kenneth H Prushik, MD in Monroe, NC

Kenneth H Prushik, MD is a medicare enrolled "Pediatrics" physician in Monroe, North Carolina. His current practice location is 1994 Wellness Blvd Ste 110, Monroe, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-8460.

Kenneth H Prushik is licensed to practice in North Carolina (license number 2018-00935) 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 1740290162.

Contact Information

	Kenneth H Prushik, MD
	1994 Wellness Blvd Ste 110, Monroe, NC 28110-7768
	(704) 384-8460
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth H Prushik
Gender	Male
Speciality	Pediatrics
Location	1994 Wellness Blvd Ste 110, Monroe, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740290162
Provider Enumeration Date: 08/08/2006
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 2668466970
Enrollment ID: I20180730001271

Medical Identifiers

Medical identifiers for Kenneth H Prushik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740290162	NPI	-	NPPES
0600898	Other	NY	GHI
556Y51	Other	NY	BLUE CROSS/ BLUE SHIELD
02461633	Medicaid	NY
3C3318	Other	NY	HEALTHNET
P2939540	Other	NY	OXFORD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2018-00935 (North Carolina)	Primary
2080A0000X	Pediatrics - Adolescent Medicine	228253-1 (New York)	Secondary

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. Kenneth H Prushik allows following entities to bill medicare on his behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Kenneth H Prushik 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
Kenneth H Prushik, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Kenneth H Prushik, MD 1994 Wellness Blvd Ste 110, Monroe, NC 28110-7768 Ph: (704) 384-8460

Reviews and Comments

Pediatrics Doctors in Monroe, NC

Dr. Robert John Kadijevic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1328 Patterson Street, Union Pediatrics, Monroe, NC 28112 Phone: 704-283-2000 Fax: 704-225-0885
Dr. Garnet D Maharajh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd, Suite 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465
Dr. Deborah Queen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd, Suite 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465
Dr. Laura Taylor Pridemore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd Ste 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465
Erin Lee Washburn, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd Ste 110, Monroe, NC 28110 Phone: 704-384-8460
Dr. George P Thevaos, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd, Suite 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465
Dakeya D Logan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3193 W Highway 74, Monroe, NC 28110 Phone: 704-698-4089

Kenneth H Prushik, MD - Medicare Pediatrics in Monroe, NC