Dr Jared A Ludlow, MD is a medicare enrolled "Hospitalist" physician in Cudahy, Wisconsin. His current practice location is
5900 S Lake Dr, Cudahy, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 489-9000.
Dr Jared A Ludlow is licensed to practice in Wisconsin (license number 22665) 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 1306339643.
Physician's Profile
| Full Name | Dr Jared A Ludlow |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 5900 S Lake Dr, Cudahy, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306339643
- Provider Enumeration Date: 06/12/2018
- Last Update Date: 11/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961757547
- Enrollment ID: I20220803001656
Medical Identifiers
Medical identifiers for Dr Jared A Ludlow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306339643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 22665 (Wisconsin) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 22665 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 22665 (Wisconsin) | Primary |
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 Jared A Ludlow allows following entities to bill medicare on his behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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| Entity Name | Lakeshore Medical Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481 |
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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 Jared A Ludlow 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 |
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Dr Jared A Ludlow, MD
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843
Ph: () - | Dr Jared A Ludlow, MD
5900 S Lake Dr,
Cudahy, WI 53110-3171
Ph: (414) 489-9000 |
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