Michael Pudlo, ACNP-BC in Houston, TX - Medicare Nurse Practitioner

Michael Pudlo, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Houston, Texas. His current practice location is 6445 Main Street, Opc 26, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 363-9844.

Michael Pudlo is licensed to practice in Texas (license number AP119679) 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 1750651055.

Contact Information

	Michael Pudlo, ACNP-BC
	6445 Main Street, Opc 26, Houston, TX 77030
	(713) 363-9844
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael Pudlo
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	6445 Main Street, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750651055
Provider Enumeration Date: 01/04/2012
Last Update Date: 10/01/2018

Medicare PECOS Information:

PECOS PAC ID: 9739456195
Enrollment ID: I20181012001807

Medical Identifiers

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

Identifier	Type	State	Issuer
1750651055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	733347 (Texas)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	AP119679 (Texas)	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. Michael Pudlo allows following entities to bill medicare on his behalf.

Entity Name	Tmh Physician Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100

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. Michael 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
Michael Pudlo, ACNP-BC 6445 Main Street, Opc 26, Houston, TX 77030 Ph: (713) 363-9844	Michael Pudlo, ACNP-BC 6445 Main Street, Opc 26, Houston, TX 77030 Ph: (713) 363-9844

Reviews and Comments

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Michael Pudlo, ACNP-BC - Medicare Nurse Practitioner in Houston, TX