Dr Richard Martin Chudacoff, MD in Wilkes Barre, PA

Dr Richard Martin Chudacoff, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Wilkes Barre, Pennsylvania. He went to Albany Medical College Of Union University and graduated in 1989 and has 36 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is 1155 East Mtn Blvd, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 808-7916.

Dr Richard Martin Chudacoff is licensed to practice in Pennsylvania (license number MD479668) 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 1740275064.

Contact Information

	Dr Richard Martin Chudacoff, MD
	1155 East Mtn Blvd, Wilkes Barre, PA 18702-7906
	(570) 808-7916
	(570) 808-6006

Map and Direction

Physician's Profile

Full Name	Dr Richard Martin Chudacoff
Gender	Male
Speciality	Obstetrics/gynecology
Experience	36 Years
Location	1155 East Mtn Blvd, Wilkes Barre, Pennsylvania
Accepts Medicare Assignments	May 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 Richard Martin Chudacoff attended and graduated from Albany Medical College Of Union University in 1989

NPI Data:

NPI Number: 1740275064
Provider Enumeration Date: 09/13/2005
Last Update Date: 11/20/2025

Medicare PECOS Information:

PECOS PAC ID: 4688631385
Enrollment ID: I20250328001287

Medical Identifiers

Medical identifiers for Dr Richard Martin Chudacoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740275064	NPI	-	NPPES
11340275064	Medicaid	TX
115868400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD479668 (Pennsylvania)	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 Richard Martin Chudacoff allows following entities to bill medicare on his behalf.

Entity Name	Main Line Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

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 Richard Martin Chudacoff 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 Richard Martin Chudacoff, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-7916	Dr Richard Martin Chudacoff, MD 1155 East Mtn Blvd, Wilkes Barre, PA 18702-7906 Ph: (570) 808-7916

Reviews and Comments

Obstetrics & Gynecology Doctors in Wilkes Barre, PA

Ronald Reyes, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916 Fax: 570-808-6006
Judy Hayek, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916 Fax: 570-808-6006
Bonnie E.b. Osterwald, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7323
Thomas More O'brien, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916 Fax: 570-808-6006
Shivani Shah, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916
Damilola Akinola, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 East Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916 Fax: 570-808-6006
Akhila Mohan Rajaram, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916 Fax: 570-808-6006

Dr Richard Martin Chudacoff, MD - Medicare Obstetrics/gynecology in Wilkes Barre, PA