Nancy Anne Pudlo
MD | Pediatrics | Female
Nancy Anne Pudlo, MD is a Granger, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nancy Anne Pudlo is
6913 N Main St Ste 200, Granger, Indiana - 46530-8039. She can be contacted on phone at
574-647-4540 and fax number 574-647-2971.
Nancy Anne Pudlo is a sole proprietor of her business.
NPI number (Unique professional ID) for Nancy Anne Pudlo is
1467610352 which was assigned by NPPES on 28 May, 2008 and it was last updated on 31 Mar, 2021.
Nancy Anne Pudlo license number is
01065123A for Pediatrics (208000000X) in Indiana.
Nancy Anne Pudlo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nancy Anne Pudlo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nancy Anne Pudlo |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Nancy Anne Pudlo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6913 N Main St Ste 200
Granger, IN, 46530-8039
United States |
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| Phone Number : | 574-647-4540 |
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| Fax Number : | 574-647-2971 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467610352 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 May, 2008 |
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| Last Updated On : | 31 Mar, 2021 |
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Medicare Participation:
Nancy Anne Pudlo participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1456425412 |
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| Medicare Enrollment ID : | I20080808000525 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Indiana University School Of Medicine |
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| Graduation Year : | 2005 |
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| Accepts Medicare? | Yes. Nancy Anne Pudlo accepts medicare insurance. |
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Group Practice Association:
Nancy Anne Pudlo is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Nancy Anne Pudlo is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Beacon Medical Group Inc | 1254243306 | 450 | 6913 N Main St
Granger, IN - 465308039 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nancy Anne Pudlo are as mentioned. Primary taxonomy code for Nancy Anne Pudlo, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01065123A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Nancy Anne Pudlo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000721926 | Other | IN | ANTHEM TRADITONAL |
| 200908380 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | PUDLO@mybeacon.cernerdirect.com
| No affiliation |
|
| 6913 N MAIN ST STE 200,
GRANGER, IN, 46530-8039
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 710 N Niles Ave
South Bend, IN, 46617-1924
United States |
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| Phone Number : | 574-647-1610 |
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| Fax Number : | 574-237-6069 |
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Business Location:
Patients can refer following map for directions to
Nancy Anne Pudlo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.