Scott Matthew Dudley, DO - Medicare Family Medicine in Columbia, MO

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Scott Matthew Dudley, DO is a medicare enrolled "Family Medicine" physician in Columbia, Missouri. His current practice location is 2101 Corona Rd Ste 102, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 234-1800.

Scott Matthew Dudley is licensed to practice in Missouri (license number 2006032135) 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 1184727166.

Contact Information

Scott Matthew Dudley, DO
2101 Corona Rd Ste 102,
Columbia, MO 65203-2582
(573) 234-1800
Not Available

Map and Direction




Physician's Profile

Full NameScott Matthew Dudley
GenderMale
SpecialityFamily Medicine
Location2101 Corona Rd Ste 102, Columbia, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184727166
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 11/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092811752
  • Enrollment ID: I20070426000484

Medical Identifiers

Medical identifiers for Scott Matthew Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184727166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2006032135 (Missouri)Secondary
207Q00000XFamily Medicine 2006032135 (Missouri)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. Scott Matthew Dudley allows following entities to bill medicare on his behalf.
Entity NameRay County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245220052
PECOS PAC ID: 4688560634
Enrollment ID: O20040225001164
Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434
Entity NameBarnes Health Care Management Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396999686
PECOS PAC ID: 1759441447
Enrollment ID: O20081126000113
Entity NameCamden Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003181637
PECOS PAC ID: 2961665369
Enrollment ID: O20120523000037
Entity NameCole Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144578659
PECOS PAC ID: 0648420810
Enrollment ID: O20121024000296
Entity NamePotosi Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881075349
PECOS PAC ID: 0648588541
Enrollment ID: O20150925001293
Entity NameSikeston Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427575299
PECOS PAC ID: 6305112814
Enrollment ID: O20171030000375
Entity NameRipley Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720606023
PECOS PAC ID: 1254757446
Enrollment ID: O20200819000175
Entity NameNewton Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386292969
PECOS PAC ID: 8921413386
Enrollment ID: O20210216003189
Entity NameNoble Health Audrain Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447841168
PECOS PAC ID: 0446667299
Enrollment ID: O20210430001237
Entity NameBarnes Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275219073
PECOS PAC ID: 9739541301
Enrollment ID: O20230814002158

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. Scott Matthew Dudley 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
Scott Matthew Dudley, DO
6315 S Arrowhead Lake Dr,
Columbia, MO 65203-8028

Ph: (573) 268-3403		Scott Matthew Dudley, DO
2101 Corona Rd Ste 102,
Columbia, MO 65203-2582

Ph: (573) 234-1800

Reviews and Comments


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Richelle J Koopman, M.D.
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Dr. Christopher Joseph Sporleder, DO
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Dr. Christopher D. Farmer, M.D.
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David D Cravens, MD, MSPH, CMD
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Phone: 573-884-7733    Fax: 573-884-5559
Dr. Shannon Rhea Sitzmann, DNP, APRN, FNP-BC
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Phone: 573-818-3067    

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.