Miriam Tudyk, in Tampa, FL - Medicare Pediatrics

Miriam Tudyk, is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Tampa, Florida. Her current practice location is 1 Tampa General Cir, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 844-7551.

Miriam Tudyk is licensed to practice in Florida (license number ME152084) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932605573.

Contact Information

	Miriam Tudyk,
	1 Tampa General Cir, Tampa, FL 33606-3571
	(813) 844-7551
	Not Available

Map and Direction

Physician's Profile

Full Name	Miriam Tudyk
Gender	Female
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	1 Tampa General Cir, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932605573
Provider Enumeration Date: 04/03/2018
Last Update Date: 11/14/2024

Medicare PECOS Information:

PECOS PAC ID: 0941602809
Enrollment ID: I20230712000962

Medical Identifiers

Medical identifiers for Miriam Tudyk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932605573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	2021018658 (Missouri)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	ME152084 (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. Miriam Tudyk allows following entities to bill medicare on her behalf.

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

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. Miriam Tudyk 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
Miriam Tudyk, 501 6th Ave S, St Petersburg, FL 33701-4634 Ph: () -	Miriam Tudyk, 1 Tampa General Cir, Tampa, FL 33606-3571 Ph: (813) 844-7551

Reviews and Comments

Pediatrics Doctors in Tampa, FL

Tracy C Burton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, 5th Floor, Tampa, FL 33606 Phone: 813-259-8752 Fax: 813-259-8749
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Donald F Pitisci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2506 W Virginia Ave, Tampa, FL 33607 Phone: 813-870-3720 Fax: 813-877-0184
Dr. Carolyn Louise Marasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10330 N Dale Mabry Hwy, Ste 190, Tampa, FL 33618 Phone: 813-963-7788 Fax: 813-443-8149
Ellen Verena Jorgensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12901 Bruce B Downs Blvd, Mdc 15, Tampa, FL 33612 Phone: 813-974-2583
Dr. Jonni H Klapper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1202 E Palm Ave, School Health Services, Tampa, FL 33605 Phone: 813-273-7020 Fax: 813-273-7328
Dr. Raafat Ismail Hamzeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8907 Regents Park Dr, Suite 330, Tampa, FL 33647 Phone: 813-907-0233 Fax: 813-907-0064

Miriam Tudyk, - Medicare Pediatrics in Tampa, FL