Brian Dudley, RN is a medicare enrolled "Anesthesiology" in Chicago, Illinois. His current practice location is
1969 W Ogden Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 864-6000.
Brian Dudley is licensed to practice in Illinois (license number 125.084591) 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 1275157513.
Provider's Profile
Full Name | Brian Dudley |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 1969 W Ogden Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275157513
- Provider Enumeration Date: 06/02/2020
- Last Update Date: 09/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274073473
- Enrollment ID: I20240913001296
Medical Identifiers
Medical identifiers for Brian Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275157513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 95155716 (California) | Secondary |
207L00000X | Anesthesiology | 125.084591 (Illinois) | Primary |
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. Brian Dudley 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 |
Brian Dudley, RN 11937 Calle Trucksess, El Cajon, CA 92019-4007 Ph: () - | Brian Dudley, RN 1969 W Ogden Ave, Chicago, IL 60612-3765 Ph: (312) 864-6000 |
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