Dr Jason Scott Prudom, MD in Milwaukee, WI - Medicare Pulmonary Disease

Dr Jason Scott Prudom, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Milwaukee, Wisconsin. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Midwest Critical Care Sc and his current practice location is 3201 S 16th St Ste 2015, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 649-3810.

Dr Jason Scott Prudom is licensed to practice in Wisconsin (license number 63600-20) 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 1265775993.

Contact Information

	Dr Jason Scott Prudom, MD
	3201 S 16th St Ste 2015, Milwaukee, WI 53215-4532
	(414) 649-3810
	(262) 240-0841

Map and Direction

Physician's Profile

Full Name	Dr Jason Scott Prudom
Gender	Male
Speciality	Pulmonary Disease
Experience	12 Years
Location	3201 S 16th St Ste 2015, Milwaukee, Wisconsin
Accepts Medicare Assignments	Yes. 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 Jason Scott Prudom graduated from medical school in 2013

NPI Data:

NPI Number: 1265775993
Provider Enumeration Date: 04/01/2013
Last Update Date: 03/25/2019

Medicare PECOS Information:

PECOS PAC ID: 9739479635
Enrollment ID: I20190709000003

Medical Identifiers

Medical identifiers for Dr Jason Scott Prudom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265775993	NPI	-	NPPES
100042547	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	63600-20 (Wisconsin)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	63600-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Columbia St Mary's Hospital Milwaukee	Milwaukee, WI	Hospital
Ascension Se Wisconsin Hospital - St Joseph Campus	Milwaukee, WI	Hospital
Ascension All Saints Hospital	Racine, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Critical Care Sc	4486026804	37

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 Jason Scott Prudom allows following entities to bill medicare on his behalf.

Entity Name	Prohealth Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Greater Milwaukee Critical Care And Pulmonary Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952569816 PECOS PAC ID: 0244304558 Enrollment ID: O20080805000542

Entity Name	Midwest Critical Care Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093425647 PECOS PAC ID: 4486026804 Enrollment ID: O20230214000166

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 Jason Scott Prudom 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 Jason Scott Prudom, MD Greater Milwaukee Critical Care And Pulmonary Associate, Po Box 070520, Milwaukee, WI 53207-0520 Ph: (414) 649-3810	Dr Jason Scott Prudom, MD 3201 S 16th St Ste 2015, Milwaukee, WI 53215-4532 Ph: (414) 649-3810

Reviews and Comments

Internal Medicine Doctors in Milwaukee, WI

Julia Bonner, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211 Phone: 414-229-5684
Dr. Zachary Smith, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-6830 Fax: 414-955-6214
Dr. Christopher Patrick Boyd, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6000 Fax: 414-805-6280
Umair Bajwa, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-0812 Fax: 414-805-0855
Rasika Surajyam Chepuri, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-7040 Fax: 414-955-6211
Therese J. Lange, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6550 Fax: 414-805-6550
Soryal A Soryal, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233 Phone: 414-219-7300

Dr Jason Scott Prudom, MD - Medicare Pulmonary Disease in Milwaukee, WI