Andrew Michael Pudlik, PA-C is a medicare enrolled "Physician Assistant" physician in Ann Arbor, Michigan. His current practice location is
1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 936-4000.
Andrew Michael Pudlik is licensed to practice in Michigan (license number 5601012341) 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 1972239754.
Physician's Profile
Full Name | Andrew Michael Pudlik |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972239754
- Provider Enumeration Date: 07/25/2022
- Last Update Date: 03/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577949320
- Enrollment ID: I20220930001374
Medical Identifiers
Medical identifiers for Andrew Michael Pudlik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972239754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 028592 (New York) | Secondary |
363A00000X | Physician Assistant | 5601012341 (Michigan) | 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. Andrew Michael Pudlik 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 |
Andrew Michael Pudlik, PA-C 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Andrew Michael Pudlik, PA-C 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
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