Dr Benjamin C Dudley, MD - Medicare Urology in Petaluma, CA

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Dr Benjamin C Dudley, MD is a medicare enrolled "Urology" physician in Petaluma, California. He went to University Of New Mexico School Of Medicine and graduated in 2006 and has 20 years of diverse experience with area of expertise as Urology. He is a member of the group practice Northbay Health Medical Foundation, Northbay Physicians Surgery Center, Llc, Regents Univ Of California Ucsf and his current practice location is 335 S Mcdowell Blvd, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (415) 461-4000.

Dr Benjamin C Dudley is licensed to practice in California (license number A136154) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1669682811.

Contact Information

Dr Benjamin C Dudley, MD
335 S Mcdowell Blvd,
Petaluma, CA 94954-3507
(415) 461-4000
(415) 461-6907

Map and Direction




Physician's Profile

Full NameDr Benjamin C Dudley
GenderMale
SpecialityUrology
Experience20 Years
Location335 S Mcdowell Blvd, Petaluma, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Benjamin C Dudley attended and graduated from University Of New Mexico School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1669682811
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 03/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4587824354
  • Enrollment ID: I20150723008246

Medical Identifiers

Medical identifiers for Dr Benjamin C Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669682811NPI-NPPES
07938MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 13996 (Nevada)Secondary
208800000XUrology A136154 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marinhealth Medical CenterGreenbrae, CAHospital
Petaluma Valley HospitalPetaluma, CAHospital
Sonoma Valley HospitalSonoma, CAHospital
Northbay Medical CenterFairfield, CAHospital
Novato Community HospitalNovato, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northbay Health Medical Foundation3274010871191
Northbay Physicians Surgery Center, Llc0042122244343
Regents Univ Of California Ucsf6305160300273

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 Benjamin C Dudley allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameNorthbay Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409
Entity NameRegents Univ Of California Ucsf
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124439807
PECOS PAC ID: 6305160300
Enrollment ID: O20150122001375

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 Benjamin C 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 AddressPractice Location Address
Dr Benjamin C Dudley, MD
335 S Mcdowell Blvd,
Petaluma, CA 94954-3507

Ph: (800) 470-0071		Dr Benjamin C Dudley, MD
335 S Mcdowell Blvd,
Petaluma, CA 94954-3507

Ph: (415) 461-4000

Reviews and Comments


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David Mark Rudnick, MD
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Phone: 707-762-0059    
Mr. Dana Charles Niendorf, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1496 Professional Dr, Ste 603, Petaluma, CA 94954
Phone: 707-762-0059    Fax: 707-762-8011

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.