Dr Jack Avak Tertadian, MD - Medicare Internal Medicine in Cudahy, WI

Dr Jack Avak Tertadian, MD is a medicare enrolled "Internal Medicine" physician in Cudahy, Wisconsin. He went to Medical College Of Wisconsin and graduated in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lakeshore Medical Clinic Llc and his current practice location is 5900 S. Lake Drive, Cudahy, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 489-4190.

Dr Jack Avak Tertadian is licensed to practice in Wisconsin (license number 34176-020) 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 1689780462.

Contact Information

Dr Jack Avak Tertadian, MD
5900 S. Lake Drive,
Cudahy, WI 53110
(414) 489-4190
(414) 489-4015



Physician's Profile

Full NameDr Jack Avak Tertadian
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location5900 S. Lake Drive, Cudahy, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jack Avak Tertadian attended and graduated from Medical College Of Wisconsin in 1990
  NPI Data:
  • NPI Number: 1689780462
  • Provider Enumeration Date: 08/22/2006
  • Last Update Date: 12/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002859386
  • Enrollment ID: I20050607001264

Medical Identifiers

Medical identifiers for Dr Jack Avak Tertadian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689780462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 34176-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora At HomeMilwaukee, WIHome health agency
Aurora At HomeWauwatosa, WIHospice
Aurora St Lukes Medical CenterMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeshore Medical Clinic Llc7719890730300

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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. Dr Jack Avak Tertadian allows following entities to bill medicare on his behalf.
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481

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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. Dr Jack Avak Tertadian 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
Dr Jack Avak Tertadian, MD
100 15th Ave, #180,
South Milwaukee, WI 53172-1160

Ph: (414) 768-5430
Dr Jack Avak Tertadian, MD
5900 S. Lake Drive,
Cudahy, WI 53110

Ph: (414) 489-4190

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Internal Medicine Doctors in Cudahy, WI

Dr. Mathew George Mathai, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 S. Lake Dr., Cudahy, WI 53110
Phone: 414-744-4000    Fax: 414-489-4022
Dr. Manila Sodhi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 S Lake Dr, 2 West, Cudahy, WI 53110
Phone: 414-489-4190    Fax: 414-489-4015
Dr. Arturo Eduardo Eyzaguirre, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 S Lake Dr, Cudahy, WI 53110
Phone: 414-744-4000    Fax: 414-489-4022
Alyssa Kaleta, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 S Lake Dr, Cudahy, WI 53110
Phone: 414-489-4051    
Anna M Lamnari, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3533 E Ramsey Avenue, Cudahy, WI 53110
Phone: 414-769-6600    Fax: 414-486-2297
Dr. Paul Aldo Lisi, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 S Lake Dr, Pulmonary And Critical Care, Cudahy, WI 53110
Phone: 414-489-4260    Fax: 414-489-4022
Dr. Jared A Ludlow, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 5900 S Lake Dr, Cudahy, WI 53110
Phone: 414-489-9000    

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