Juliana Nicole Hudson, ASW is a medicare enrolled "Social Worker - Clinical" provider in Santa Monica, California. Her current practice location is
1301 20th St Ste 540, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at
(310) 582-7612.
Juliana Nicole Hudson is licensed to practice in California (license number 105376) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700429081.
Healthcare Provider's Profile
| Full Name | Juliana Nicole Hudson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1301 20th St Ste 540, Santa Monica, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700429081
- Provider Enumeration Date: 10/19/2019
- Last Update Date: 01/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204227887
- Enrollment ID: I20211216000666
Medical Identifiers
Medical identifiers for Juliana Nicole Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700429081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 143269 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 105376 (California) | Primary |
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. Juliana Nicole Hudson allows following entities to bill medicare on her behalf.
| Entity Name | Providence Saint Johns Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770093734
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904 |
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| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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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. Juliana Nicole Hudson 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 |
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Juliana Nicole Hudson, ASW
470 E 3rd St Ste C,
Los Angeles, CA 90013-1630
Ph: (213) 620-5712 | Juliana Nicole Hudson, ASW
1301 20th St Ste 540,
Santa Monica, CA 90404-2118
Ph: (310) 582-7612 |
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