Jeremy Udkoff, is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Mt Lebanon, Pennsylvania. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Dermeve Pc and his current practice location is
607 Washington Rd Lowr Level, Mt Lebanon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(412) 563-0217.
Jeremy Udkoff is licensed to practice in Pennsylvania (license number MD478556) 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 1447756499.
Physician's Profile
| Full Name | Jeremy Udkoff |
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| Gender | Male |
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| Speciality | Micrographic Dermatologic Surgery (mds) |
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| Experience | 7 Years |
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| Location | 607 Washington Rd Lowr Level, Mt Lebanon, Pennsylvania |
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| 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:
- Jeremy Udkoff graduated from medical school in 2018
NPI Data:
- NPI Number: 1447756499
- Provider Enumeration Date: 03/30/2018
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789930892
- Enrollment ID: I20240116001413
Medical Identifiers
Medical identifiers for Jeremy Udkoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447756499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 323142 (New York) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 323142 (New York) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | MD478556 (Pennsylvania) | Primary |
| 207N00000X | Dermatology | MD478556 (Pennsylvania) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Dermeve Pc | 0042751562 | 5 |
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. Jeremy Udkoff allows following entities to bill medicare on his behalf.
| Entity Name | Pennsylvania Centre For Dermatology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861501801 PECOS PAC ID: 4183603335 Enrollment ID: O20040720000493 |
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| Entity Name | Mt. Lebanon Dermatology Associates,pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356983290 PECOS PAC ID: 1052744893 Enrollment ID: O20191209001101 |
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| Entity Name | Dermeve Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356111645 PECOS PAC ID: 0042751562 Enrollment ID: O20240924000964 |
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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. Jeremy Udkoff 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 |
Jeremy Udkoff, 607 Washington Rd Lowr Level, Pittsburgh, PA 15228-1903 Ph: () - | Jeremy Udkoff, 607 Washington Rd Lowr Level, Mt Lebanon, PA 15228-1903 Ph: (412) 563-0217 |
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