Dr Philip S Dudak, DC, FNP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Saint Louis, Missouri. His current practice location is
11133 Dunn Rd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 653-5228.
Dr Philip S Dudak is licensed to practice in Illinois (license number 209010226) 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 1720067051.
Healthcare Provider's Profile
| Full Name | Dr Philip S Dudak |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 11133 Dunn Rd, Saint Louis, Missouri |
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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:
- Dr Philip S Dudak attended and graduated from in
NPI Data:
- NPI Number: 1720067051
- Provider Enumeration Date: 01/13/2006
- Last Update Date: 07/29/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Philip S Dudak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720067051 | NPI | - | NPPES |
| 118828 | Other | IL | BCBS |
| 4400267 | Other | | UHC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 005778 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | 2013003629 (Missouri) | Secondary |
| 111N00000X | Chiropractor | 038006559 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209010226 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2013003629 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209010226 (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. Dr Philip S Dudak 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 |
|---|
Dr Philip S Dudak, DC, FNP-C
11125 Dunn Rd Ste 100,
Saint Louis, MO 63136-6132
Ph: (314) 653-5228 | Dr Philip S Dudak, DC, FNP-C
11133 Dunn Rd,
Saint Louis, MO 63136-6163
Ph: (314) 653-5228 |
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