Dr Michael B Prudhomme, MD - Medicare General Practice in Portsmouth, VA

Dr Michael B Prudhomme, MD is a medicare enrolled "General Practice" physician in Portsmouth, Virginia. His current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (928) 269-5657.

Dr Michael B Prudhomme is licensed to practice in Arizona (license number 36179) 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 1942365549.

Contact Information

Dr Michael B Prudhomme, MD
620 John Paul Jones Cir,
Portsmouth, VA 23708-2111
(928) 269-5657
Not Available



Physician's Profile

Full NameDr Michael B Prudhomme
GenderMale
SpecialityGeneral Practice
Location620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942365549
  • Provider Enumeration Date: 12/26/2006
  • Last Update Date: 10/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678949757
  • Enrollment ID: I20221013003290

Medical Identifiers

Medical identifiers for Dr Michael B Prudhomme such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942365549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0100XPreventive Medicine - Aerospace Medicine 01060410A (Indiana)Secondary
2083P0500XPreventive Medicine - Preventive Medicine/occupational Environmental Medicine 01060410A (Indiana)Secondary
208D00000XGeneral Practice 36179 (Arizona)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. Dr Michael B Prudhomme 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 Michael B Prudhomme, MD
1285 W D St Bldg U238,
Norfolk, VA 23511-3394

Ph: (757) 953-6600
Dr Michael B Prudhomme, MD
620 John Paul Jones Cir,
Portsmouth, VA 23708-2111

Ph: (928) 269-5657

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General Practice Doctors in Portsmouth, VA

Dr. Derek Matthew Miletich, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5000    
Dr. Edwin Gonzalez, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-8229    Fax: 757-953-8225
Dr. Adrienne Dawn Pettebone, D.O.
General Practice
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-1043    
Dr. Katie Marie Mcauliffe, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708
Phone: 757-314-0830    
Dr. William R Shannon, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-3238    
Dr. Raphael Fajardo Guanzon, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 704 London St # A, Portsmouth, VA 23704
Phone: 757-399-0513    
Dr. Joel Metzger, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-1128    

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