Lora I Hudson, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Madison, Wisconsin. Her current practice location is
1310 Mendota St Ste 115, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 640-4007.
Lora I Hudson is licensed to practice in Wisconsin (license number 8304-123) 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 1942602040.
Healthcare Provider's Profile
| Full Name | Lora I Hudson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1310 Mendota St Ste 115, Madison, Wisconsin |
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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: 1942602040
- Provider Enumeration Date: 09/19/2014
- Last Update Date: 03/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 0941511901
- Enrollment ID: I20150617000553
Medical Identifiers
Medical identifiers for Lora I Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942602040 | NPI | - | NPPES |
| 1942602040 | Other | | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15772-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8304-123 (Wisconsin) | 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. Lora I Hudson allows following entities to bill medicare on her behalf.
| Entity Name | Abg Wellness Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184087389
PECOS PAC ID: 0345536785
Enrollment ID: O20160909002340 |
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| Entity Name | Monarch Behavioral Health Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497380505
PECOS PAC ID: 7315362548
Enrollment ID: O20200805002717 |
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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. Lora I 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 |
|---|
Lora I Hudson, LCSW, CSAC
1310 Mendota St Ste 115,
Madison, WI 53714-1060
Ph: (608) 640-4007 | Lora I Hudson, LCSW, CSAC
1310 Mendota St Ste 115,
Madison, WI 53714-1060
Ph: (608) 640-4007 |
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