Mr John Joseph Dudek Jr, MD is a
Urology based in Las Vegas, Nevada. Mr John Joseph Dudek Jr is licensed to practice in Nevada (license number 3293) and his current practice location is
2020 Goldring Ave, #506, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 382-7055.
NPI number for Mr John Joseph Dudek Jr is 1316904055 and his current mailing address is 2020 Goldring Ave, #506, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316904055.
Provider's Profile
| Full Name | Mr John Joseph Dudek Jr |
|---|
| Gender | Male |
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| Speciality | Urology |
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| Location | 2020 Goldring Ave, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316904055
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 07/07/2009
Medical Identifiers
Medical identifiers for Mr John Joseph Dudek Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316904055 | NPI | - | NPPES |
| 002002008 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WU0100X | Registered Nurse - Urology | 3293 (Nevada) | Secondary |
| 208800000X | Urology | 3293 (Nevada) | Primary |
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. Mr John Joseph Dudek Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr John Joseph Dudek Jr, MD
2020 Goldring Ave, #506,
Las Vegas, NV 89106-4060
Ph: (702) 382-7055 | Mr John Joseph Dudek Jr, MD
2020 Goldring Ave, #506,
Las Vegas, NV 89106-4060
Ph: (702) 382-7055 |
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