Dr Heather L Dudley, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Middleburg, Florida. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Ob Hospitalist Group Llc and her current practice location is
1658 St Vincents Way Ste 130, Middleburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 264-1628.
Dr Heather L Dudley is licensed to practice in Florida (license number OS14575) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356320592.
Physician's Profile
| Full Name | Dr Heather L Dudley |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 24 Years |
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| Location | 1658 St Vincents Way Ste 130, Middleburg, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Heather L Dudley graduated from medical school in 2000
NPI Data:
- NPI Number: 1356320592
- Provider Enumeration Date: 01/16/2006
- Last Update Date: 06/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 0446288112
- Enrollment ID: I20180410002262
Medical Identifiers
Medical identifiers for Dr Heather L Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356320592 | NPI | - | NPPES |
| 1356320592 | Other | FL | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 036113156 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | OS14575 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ob Hospitalist Group Llc | 5193866838 | 51 |
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 Heather L Dudley allows following entities to bill medicare on her behalf.
| Entity Name | Halifax Healthcare Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443 |
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| Entity Name | Ob Hospitalist Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710647334
PECOS PAC ID: 5193866838
Enrollment ID: O20100104000363 |
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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 Heather L Dudley 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 Address | Practice Location Address |
|---|
Dr Heather L Dudley, DO
1658 St Vincents Way Ste 130,
Middleburg, FL 32068-8459
Ph: (904) 264-1628 | Dr Heather L Dudley, DO
1658 St Vincents Way Ste 130,
Middleburg, FL 32068-8459
Ph: (904) 264-1628 |
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