Matthew Nudelman, is a medicare enrolled "Pediatrics" physician in Monona, Wisconsin. His current practice location is
6408 Bridge Rd Apt 374, Monona, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(408) 687-5121.
Matthew Nudelman is licensed to practice in Wisconsin (license number 82440) 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 1205456779.
Physician's Profile
| Full Name | Matthew Nudelman |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 6408 Bridge Rd Apt 374, Monona, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205456779
- Provider Enumeration Date: 04/24/2020
- Last Update Date: 10/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375998321
- Enrollment ID: I20231011000342
Medical Identifiers
Medical identifiers for Matthew Nudelman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205456779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 82440 (Wisconsin) | 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. Matthew Nudelman allows following entities to bill medicare on his behalf.
| Entity Name | University Of Wisconsin Medical Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435 |
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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. Matthew Nudelman 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 |
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Matthew Nudelman,
6408 Bridge Rd Apt 374,
Monona, WI 53713-1833
Ph: () - | Matthew Nudelman,
6408 Bridge Rd Apt 374,
Monona, WI 53713-1833
Ph: (408) 687-5121 |
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