Mr Jacob Hudson, LPC in South Boston, VA - Medicare Counselor Provider

Mr Jacob Hudson, LPC is a medicare enrolled "Counselor - Professional" provider in South Boston, Virginia. His current practice location is 504 Wilborn Ave, South Boston, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 517-3653.

Mr Jacob Hudson is licensed to practice in Virginia (license number 0701010038) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023618204.

Contact Information

	Mr Jacob Hudson, LPC
	504 Wilborn Ave, South Boston, VA 24592-3120
	(434) 517-3653
	(434) 517-3043

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jacob Hudson
Gender	Male
Speciality	Counselor - Professional
Location	504 Wilborn Ave, South Boston, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023618204
Provider Enumeration Date: 10/28/2020
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 2264963198
Enrollment ID: I20241003000461

Medical Identifiers

Medical identifiers for Mr Jacob Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023618204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701010038 (Virginia)	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. Mr Jacob Hudson allows following entities to bill medicare on his behalf.

Entity Name	Halifax Regional Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588668842 PECOS PAC ID: 4587572805 Enrollment ID: O20040607000050

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. Mr Jacob 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
Mr Jacob Hudson, LPC 504 Wilborn Ave, South Boston, VA 24592-3120 Ph: (434) 517-3653	Mr Jacob Hudson, LPC 504 Wilborn Ave, South Boston, VA 24592-3120 Ph: (434) 517-3653

Reviews and Comments

Counselor in South Boston, VA

Miss Rita Kay Lynch, LPC Counselor Medicare: Medicare Enrolled Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3654
Shavia Truesdale-el, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Valley Dr, South Boston, VA 24592 Phone: 434-222-4610
Anne Leggett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 554 N Main St, Suite 211, South Boston, VA 24592 Phone: 434-572-8000
Matthew Owen, Counselor Medicare: Medicare Enrolled Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3020
Hillary Crenshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 Hamilton Blvd, South Boston, VA 24592 Phone: 434-476-5526 Fax: 434-374-7804
Mr. Norman Scott Spencer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3651 Fax: 434-517-3043

Mr Jacob Hudson, LPC - Medicare Counselor in South Boston, VA