John J Kudlak Jr, DO - Medicare Pulmonary Disease in Greenville, SC

John J Kudlak Jr, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Greenville, South Carolina. He went to West Virginia School Of Osteopathic Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Prisma Health University Medical Group and his current practice location is 200 Patewood Dr, Suite B300, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 454-4200.

John J Kudlak Jr is licensed to practice in South Carolina (license number 714) 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 1023064847.

Contact Information

John J Kudlak Jr, DO
200 Patewood Dr, Suite B300,
Greenville, SC 29615-3593
(864) 454-4200
(864) 454-4205



Physician's Profile

Full NameJohn J Kudlak Jr
GenderMale
SpecialityPulmonary Disease
Experience28 Years
Location200 Patewood Dr, Greenville, South Carolina
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:
  • John J Kudlak Jr attended and graduated from West Virginia School Of Osteopathic Medicine in 1996
  NPI Data:
  • NPI Number: 1023064847
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 09/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6507770310
  • Enrollment ID: I20031117000365

Medical Identifiers

Medical identifiers for John J Kudlak Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023064847NPI-NPPES
P00265774OtherSCRR MEDICARE
P00801525OtherSCRAILROAD MEDICARE
007147MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 714 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Greenville Memorial HospitalGreenville, SCHospital
Prisma Health Baptist Easley HospitalEasley, SCHospital
Ghs Laurens County Memorial HospitalClinton, SCHospital
Prisma Health Hillcrest HospitalSimpsonville, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health University Medical Group83259509832201

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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. John J Kudlak Jr allows following entities to bill medicare on his behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238

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Entity NameGreenville Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568532513
PECOS PAC ID: 8123938131
Enrollment ID: O20031212000723

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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. John J Kudlak Jr 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
John J Kudlak Jr, DO
1 Independence Pt, Suite 212,
Greenville, SC 29615-4545

Ph: (864) 797-6044
John J Kudlak Jr, DO
200 Patewood Dr, Suite B300,
Greenville, SC 29615-3593

Ph: (864) 454-4200

News Archive

ROS1 fusion genes found in young East Asian patients with lung adenocarcinoma

ROS1 fusion genes were successfully detected independent of gender or smoking history in young East Asian patients with lung adenocarcinoma, a histological subgroup in non-small cell lung cancer (NSCLC), using multiplex reverse transcriptase-polymerase chain reaction (RT-PCR) and immunohistochemistry (IHC) diagnostic tests.

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Internal Medicine Doctors in Greenville, SC

Abdullah Darvesh,
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 701 Grove Rd, Greenville, SC 29605
Phone: 864-455-7882    
Daniel Ruiz,
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 701 Grove Rd, Greenville, SC 29605
Phone: 864-455-7882    
Rhett Mckey Shirley, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 890 W Faris Rd, Suite 520, Greenville, SC 29605
Phone: 864-455-9033    Fax: 864-455-6559
Mohammad Rashid, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 61 Pointe Cir, Greenville, SC 29615
Phone: 864-286-6960    Fax: 864-286-8710
Benjamin Ellis Rawls, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605
Phone: 864-455-4411    
Alan Robert Thompson, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 701 Grove Rd, 5th Floor, Greenville, SC 29605
Phone: 864-455-4411    Fax: 864-455-4480
Caroline Dillard Brownlee, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Verdae Blvd, Suite A, Greenville, SC 29607
Phone: 864-242-4683    Fax: 864-240-8104

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