Mr Robert A Dudley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jensen Beach, Florida. He graduated from nursing school in 1979 and has 45 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Waterside Anesthesia Services, Inc. and his current practice location is
13101 S Indian River Dr, Jensen Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(772) 229-0059.
Mr Robert A Dudley is licensed to practice in Florida (license number 1447122) 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 1568402824.
Provider's Profile
| Full Name | Mr Robert A Dudley |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 45 Years |
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| Location | 13101 S Indian River Dr, Jensen Beach, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Robert A Dudley graduated from nursing school in 1979
NPI Data:
- NPI Number: 1568402824
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 11/01/2018
Medicare PECOS Information:
- PECOS PAC ID: 5496838153
- Enrollment ID: I20080219000230
Medical Identifiers
Medical identifiers for Mr Robert A Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568402824 | NPI | - | NPPES |
| 034784100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 1447122 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Waterside Anesthesia Services, Inc. | 1153360979 | 7 |
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. Mr Robert A Dudley allows following entities to bill medicare on his behalf.
| Entity Name | Waterside Anesthesia Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083619829
PECOS PAC ID: 1153360979
Enrollment ID: O20050429000821 |
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| Entity Name | Atlantic Anesthesia Group One Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831663681
PECOS PAC ID: 1052653276
Enrollment ID: O20190508001336 |
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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. Mr Robert A 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 |
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Mr Robert A Dudley, CRNA
Po Box 8178,
Port St Lucie, FL 34985-8178
Ph: (772) 201-7510 | Mr Robert A Dudley, CRNA
13101 S Indian River Dr,
Jensen Beach, FL 34957-2229
Ph: (772) 229-0059 |
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