DR. ANDREW NOAH PRUSSACK MD
NPI 1629458559
Anesthesiology in Jackson, MI

Q: What is Andrew Prussack's NPI number?

The NPI number for Andrew Prussack is 1629458559. It was assigned to this individual provider in the NPPES registry on June 5, 2015. The provider is also known as Andrew Prussack MD.

Q: What is Andrew Prussack's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Prussack was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 30, 2021, Jul 22, 2019, May 2, 2019 (3 updates tracked since 2019).

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About Dr. Andrew Noah Prussack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW NOAH PRUSSACK MD (NPI 1629458559) is an individual anesthesiology provider in Jackson, Michigan, licensed in Michigan (4301118987) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2015).

NPPES Registry Identity

NPI1629458559

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. ANDREW NOAH PRUSSACKCredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(517) 205-4800

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2015

Enumeration DateJune 5, 2015

Last NPPES UpdateMarch 30, 20213 updates tracked since enumeration

NPPES CertifiedMarch 30, 2021

✔ NPI 1629458559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MI · 4301118987

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

205 N EAST AVE, Jackson, MI 49201

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Other Names 1

Former Name (1)Andrew Prussack Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Noah Prussack Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830406362

PECOS Enrollment IDI20190808002332

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

87 services87 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

39 services39 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

36 services36 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

21 services21 patients

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415

This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.

13 services13 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C

Physician Assistant