| James E Dudo, MD | |
|
3271 Racquet Club Dr, Traverse City, MI 49684-4708 | |
| (307) 251-0502 | |
| Not Available |
| Full Name | James E Dudo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 3271 Racquet Club Dr, Traverse City, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629285051 | NPI | - | NPPES |
| MI 4704146516 | Other | MI | MICHIGAN LICENSE |
| 62669 | Other | MN | MN LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jennings American Legion Hospital | Jennings, LA | Hospital |
| Community Memorial Hospital | Cloquet, MN | Hospital |
| Riverland Medical Center | Ferriday, LA | Hospital |
| Dekalb Regional Medical Center | Fort payne, AL | Hospital |
| Lakeview Medical Center Of Rice Lake | Rice lake, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crowley Emergency Group Llc | 1456572965 | 26 |
| Jefferson Davis Emergency Group Llc | 2365496775 | 18 |
| Entity Name | Keystone Medical Services Of Ferriday, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215704754 PECOS PAC ID: 5991140600 Enrollment ID: O20240304001066 |
| Mailing Address | Practice Location Address |
|---|---|
| James E Dudo, MD 12808 230th Ave, Big Rapids, MI 49307-8722 Ph: () - | James E Dudo, MD 3271 Racquet Club Dr, Traverse City, MI 49684-4708 Ph: (307) 251-0502 |
Bevin Clayton, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
Dale C Blum, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
Dr. Brandi Jenks Gunn, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
Richard G Faller, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
David Darwin Nicolaou, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Munson Ave, Traverse City, MI 49686 Phone: 231-935-8710 | |
David Shapiro, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-395-6333 Fax: 801-740-2847 | |
Juhn Mark Han, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 |