Dr Andrew Noah Prussack, MD - Medicare Anesthesiology in Jackson, MI

Dr Andrew Noah Prussack, MD is a medicare enrolled "Anesthesiology" physician in Jackson, Michigan. He went to Wayne State University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice W.a. Foote Memorial Hospital, Inc. and his current practice location is 205 N East Ave, Jackson, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 205-4800.

Dr Andrew Noah Prussack is licensed to practice in Michigan (license number 4301118987) 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 1629458559.

Contact Information

Dr Andrew Noah Prussack, MD
205 N East Ave,
Jackson, MI 49201-1753
(517) 205-4800
Not Available

Map and Direction




Physician's Profile

Full NameDr Andrew Noah Prussack
GenderMale
SpecialityAnesthesiology
Experience9 Years
Location205 N East Ave, Jackson, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Andrew Noah Prussack attended and graduated from Wayne State University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1629458559
  • Provider Enumeration Date: 06/05/2015
  • Last Update Date: 03/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830406362
  • Enrollment ID: I20190808002332

Medical Identifiers

Medical identifiers for Dr Andrew Noah Prussack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629458559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 4301118987 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford Allegiance HealthJackson, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
W.a. Foote Memorial Hospital, Inc.0244136067435

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. Dr Andrew Noah Prussack allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003989690
PECOS PAC ID: 0547178311
Enrollment ID: O20031111000300
Entity NameW.a. Foote Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760437826
PECOS PAC ID: 0244136067
Enrollment ID: O20031212000691
Entity NameNorthwestern Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215106679
PECOS PAC ID: 4486723657
Enrollment ID: O20080514000823
Entity NameNovi Aas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598176919
PECOS PAC ID: 1557587847
Enrollment ID: O20140722002052

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. Dr Andrew Noah Prussack 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 AddressPractice Location Address
Dr Andrew Noah Prussack, MD
3621 S State St,
Ann Arbor, MI 48108-1633

Ph: (734) 647-5299
Dr Andrew Noah Prussack, MD
205 N East Ave,
Jackson, MI 49201-1753

Ph: (517) 205-4800

Reviews and Comments


Anesthesiology Doctors in Jackson, MI

Dr. Melinda Mitchell, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-205-7836    
Clemon Pardales, D.O.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 2775 Blake Rd, Jackson, MI 49201
Phone: 517-787-2906    Fax: 517-787-3039
Jose J. Rivera-melendez, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2775 Blake Rd, Jackson, MI 49201
Phone: 517-787-2906    Fax: 517-787-3039
Dr. Vinay Anad-raj Pallekonda, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 255 W Michigan Ave, Jackson, MI 49201
Phone: 517-787-6440    Fax: 517-787-7230
Dr. Daniel Robert Grutter, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 205 North East Ave, Anesthesia Department, Jackson, MI 49201
Phone: 517-205-3240    
Dr. Yung I Park, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 255 W Michigan Ave, Jackson, MI 49201
Phone: 517-787-6440    Fax: 517-787-4146
Nicole M Horning,
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-205-4800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.