Samuel J Pruden Ii, MD in Lexington, KY

Samuel J Pruden Ii, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Lexington, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Dermatology. His current practice location is 989 Governors Ln Ste 260, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 296-7546.

Samuel J Pruden Ii is licensed to practice in Kentucky (license number 34192) 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 1871593996.

Contact Information

	Samuel J Pruden Ii, MD
	989 Governors Ln Ste 260, Lexington, KY 40513-1175
	(859) 296-7546
	(859) 721-0829

Map and Direction

Physician's Profile

Full Name	Samuel J Pruden Ii
Gender	Male
Speciality	Dermatology
Experience	28 Years
Location	989 Governors Ln Ste 260, Lexington, Kentucky
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:

Samuel J Pruden Ii attended and graduated from University Of Louisville School Of Medicine in 1997

NPI Data:

NPI Number: 1871593996
Provider Enumeration Date: 07/29/2005
Last Update Date: 12/15/2022

Medicare PECOS Information:

PECOS PAC ID: 5890686471
Enrollment ID: I20040323000851

Medical Identifiers

Medical identifiers for Samuel J Pruden Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871593996	NPI	-	NPPES
000000823142	Other	KY	ANTHEM BCBS
64051196	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	34192 (Kentucky)	Secondary
207Y00000X	Otolaryngology	34192 (Kentucky)	Secondary
208200000X	Plastic Surgery	34192 (Kentucky)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	34192 (Kentucky)	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. Samuel J Pruden Ii allows following entities to bill medicare on his behalf.

Entity Name	Kentucky Medical Services Foundation, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326091448 PECOS PAC ID: 5698689909 Enrollment ID: O20031119000300

Entity Name	Regional Dermatology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255851200 PECOS PAC ID: 7517223472 Enrollment ID: O20171108002733

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. Samuel J Pruden Ii 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
Samuel J Pruden Ii, MD 989 Governors Ln Ste 220, Lexington, KY 40513-1175 Ph: (859) 296-7546	Samuel J Pruden Ii, MD 989 Governors Ln Ste 260, Lexington, KY 40513-1175 Ph: (859) 296-7546

Reviews and Comments

Dermatology Doctors in Lexington, KY

Charlie Becknell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 250 Fountain Ct, Lexington, KY 40509 Phone: 859-263-4444 Fax: 859-254-1814
Leigh Ann Carter Beard, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 715 Shaker Dr Ste 132, Lexington, KY 40504 Phone: 859-288-5004 Fax: 859-288-5007
Dr. Dana Black, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3475 Richmond Rd, Suite 200, Lexington, KY 40509 Phone: 859-296-4400 Fax: 859-296-4300
Dr. Sean A Marzolf, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 250 Fountain Ct, Lexington, KY 40509 Phone: 859-263-4444 Fax: 859-263-6781
Dr. Tandy Sutton Repass, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3475 Richmond Rd Ste 200, Lexington, KY 40509 Phone: 859-296-4400
Dr. Clifton Smith, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 177 Burt Rd, Lexington, KY 40503 Phone: 859-276-1511 Fax: 859-276-3373
Deborah K Phillips, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4071 Tates Creek Centre Dr Ste 202, Lexington, KY 40517 Phone: 859-226-0206

Samuel J Pruden Ii, MD - Medicare Dermatology in Lexington, KY