Lauren Pudalov, in Jacksonville, FL - Medicare Clinical Psychologist Provider

Lauren Pudalov, is a medicare enrolled "Psychologist - Clinical" provider in Jacksonville, Florida. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mayo Clinic - Florida and her current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 953-2000.

Lauren Pudalov is licensed to practice in Florida (license number PY10412) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265979165.

Contact Information

	Lauren Pudalov,
	4500 San Pablo Rd S, Jacksonville, FL 32224-1865
	(904) 953-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lauren Pudalov
Gender	Female
Speciality	Clinical Psychologist
Experience	7 Years
Location	4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lauren Pudalov graduated from medical school in 2017

NPI Data:

NPI Number: 1265979165
Provider Enumeration Date: 01/30/2017
Last Update Date: 10/12/2020

Medicare PECOS Information:

PECOS PAC ID: 1052647823
Enrollment ID: I20190731003807

Medical Identifiers

Medical identifiers for Lauren Pudalov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265979165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY10412 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mayo Clinic Florida	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mayo Clinic - Florida	5698689297	1328

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. Lauren Pudalov allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388

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. Lauren Pudalov 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
Lauren Pudalov, 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000	Lauren Pudalov, 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000

Reviews and Comments

Psychologist in Jacksonville, FL

Dr. Purnima Kumar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5251 Emerson St, Jacksonville, FL 32207 Phone: 904-399-0324 Fax: 904-399-0420
Rebecca Marie Tuttle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1746 Tiffany Pines Cir W, Jacksonville, FL 32225 Phone: 305-586-6044
Dr. Marisa Victoria Byles, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223 Phone: 904-515-3503
Antionette Jarshawn Miller-maultsby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4401 Will Scarlet Rd, Jacksonville, FL 32208 Phone: 904-352-0066
Dr. Brittany Cannon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216 Phone: 904-419-7792
Rachel Suzanne Wasson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Tanis Jill Ferman, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Lauren Pudalov, - Medicare Psychologist in Jacksonville, FL