Dr John W Hudson, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Knoxville, Tennessee. His current practice location is
1930 Alcoa Hwy, Ste 335, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 544-9021.
Dr John W Hudson is licensed to practice in Tennessee (license number DS006030) 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 1922020379.
Healthcare Provider's Profile
| Full Name | Dr John W Hudson |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 1930 Alcoa Hwy, Knoxville, Tennessee |
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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: 1922020379
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 04/17/2008
Medicare PECOS Information:
- PECOS PAC ID: 4284703448
- Enrollment ID: I20080514000747
Medical Identifiers
Medical identifiers for Dr John W Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922020379 | NPI | - | NPPES |
| 3224723 | Medicaid | TN | |
| 199845 | Other | TN | CIGNA DENTAL DMO OFFC 2 |
| 199846 | Other | TN | CIGNA DENTAL DMO OFFC 3 |
| DS006030 | Other | TN | LICENSE |
| 732021 | Other | UT | DENTAL BEN. PROV. OFFC 1 |
| 64777451 | Other | KY | KENTUCKY MEDICAID |
| 732022 | Other | UT | DENTAL BEN. PROV. OFFC 2 |
| TN0103 | Other | TN | AMERICHOICE TENNCARE O-2 |
| 1211270 | Other | TN | CIGNA DENTAL DMO OFFC 1 |
| 199845 | Other | TN | CIGNA DENTAL PPO OFFC 2 |
| 621199959 | Other | TN | CIGNA DENTAL PPO |
| 732023 | Other | UT | DENTAL BEN. PROV. OFFC 3 |
| 0015837 | Other | | BLUE CROSS BLUE SHIELD |
| 199846 | Other | TN | CIGNA DENTAL PPO OFFC3 |
| TN0102 | Other | TN | AMERICHOICE TENNCARE O-1 |
| 0005113 | Other | IA | ASSURANT EMPLOYEE BENEFIT |
| TN0104 | Other | TN | AMERICHOICE TENNCARE O-3 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS006030 (Tennessee) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DS006030 (Tennessee) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 2901014026 (Michigan) | Secondary |
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | CERTIFICATE (California) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | CERTIFICATE (California) | Secondary |
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 John W 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 |
|---|
Dr John W Hudson, DDS
1930 Alcoa Hwy, Ste 335,
Knoxville, TN 37920-1500
Ph: (865) 544-9021 | Dr John W Hudson, DDS
1930 Alcoa Hwy, Ste 335,
Knoxville, TN 37920-1500
Ph: (865) 544-9021 |
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