Dr Ryan Sanford Prudoff, DO - Medicare Emergency Medicine in Georgetown, TX

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Dr Ryan Sanford Prudoff, DO is a medicare enrolled "Emergency Medicine" physician in Georgetown, Texas. His current practice location is 1210 W University Ave, Georgetown, Texas. You can reach out to his office (for appointments etc.) via phone at (216) 513-2236.

Dr Ryan Sanford Prudoff is licensed to practice in Texas (license number R5027) 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 1740483122.

Contact Information

Dr Ryan Sanford Prudoff, DO
1210 W University Ave,
Georgetown, TX 78628-5333
(216) 513-2236
Not Available

Map and Direction




Physician's Profile

Full NameDr Ryan Sanford Prudoff
GenderMale
SpecialityEmergency Medicine
Location1210 W University Ave, Georgetown, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740483122
  • Provider Enumeration Date: 06/06/2007
  • Last Update Date: 11/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0547360349
  • Enrollment ID: I20070710000037

Medical Identifiers

Medical identifiers for Dr Ryan Sanford Prudoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740483122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine R5027 (Texas)Primary
207P00000XEmergency Medicine 34.008507 (Ohio)Secondary

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 Ryan Sanford Prudoff allows following entities to bill medicare on his behalf.
Entity NameEmergency Professional Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864

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 Ryan Sanford Prudoff 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 Ryan Sanford Prudoff, DO
1210 W University Ave,
Georgetown, TX 78628-5333

Ph: (216) 513-2236		Dr Ryan Sanford Prudoff, DO
1210 W University Ave,
Georgetown, TX 78628-5333

Ph: (216) 513-2236

Reviews and Comments


Emergency Medicine Doctors in Georgetown, TX

Rachel Naomi Seelye, FNP
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Phone: 512-943-3000    
Alan L Rabideau, M.D.
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Dr. John J Valentini Jr., MD
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Practice Location: 1210 W University Ave, Georgetown, TX 78628
Phone: 954-604-2030    
Dr. Jeremy Alan Padalecki, M.D.
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Practice Location: 1100 Teravista Xing, Georgetown, TX 78626
Phone: 210-861-9691    
Purvi H Shah, M.D.
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Medicare: Medicare Enrolled
Practice Location: 2000 Scenic Dr, Georgetown, TX 78626
Phone: 512-943-3000    

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.