Nancy Anne Pudlo, MD in Granger, IN

Nancy Anne Pudlo, MD is a medicare enrolled "Pediatrics" physician in Granger, Indiana. Her current practice location is 6913 N Main St Ste 200, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-4540.

Nancy Anne Pudlo is licensed to practice in Indiana (license number 01065123A) 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 1467610352.

Contact Information

	Nancy Anne Pudlo, MD
	6913 N Main St Ste 200, Granger, IN 46530-8039
	(574) 647-4540
	(574) 647-2971

Map and Direction

Physician's Profile

Full Name	Nancy Anne Pudlo
Gender	Female
Speciality	Pediatrics
Location	6913 N Main St Ste 200, Granger, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467610352
Provider Enumeration Date: 05/28/2008
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 1456425412
Enrollment ID: I20080808000525

Medical Identifiers

Medical identifiers for Nancy Anne Pudlo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467610352	NPI	-	NPPES
000000721926	Other	IN	ANTHEM TRADITONAL
200908380	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01065123A (Indiana)	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. Nancy Anne Pudlo allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Nancy Anne Pudlo 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
Nancy Anne Pudlo, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Nancy Anne Pudlo, MD 6913 N Main St Ste 200, Granger, IN 46530-8039 Ph: (574) 647-4540

Reviews and Comments

Pediatrics Doctors in Granger, IN

Mikael Denise Howard, Pediatrics Medicare: Medicare Enrolled Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-204-7050 Fax: 574-204-7047
Dr. Shanna Verma Kautzmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6913 N Main St Ste 200, Granger, IN 46530 Phone: 574-647-4540 Fax: 574-647-2567
Dr. Charisse D Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 229 Florence Ave Ste 233, Granger, IN 46530 Phone: 574-855-4575 Fax: 833-314-0410
Dr. Karen D. Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-2970 Fax: 574-647-2971
Dr. Michael James Hudson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 Fax: 574-243-4343
Melissa Anne Hickey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-271-0700 Fax: 574-273-5648

Nancy Anne Pudlo, MD - Medicare Pediatrics in Granger, IN