| Deidre J Hudson, MD | |
|
201 Business Center Dr, Pawleys Island, SC 29585-6522 | |
| (888) 467-1117 | |
| (888) 990-3903 |
| Full Name | Deidre J Hudson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 201 Business Center Dr, Pawleys Island, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902878218 | NPI | - | NPPES |
| 190849 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19084 (South Carolina) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kershawhealth | Camden, SC | Hospital |
| Providence Health | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sandhills Medical Foundation, Inc. | 8224949821 | 25 |
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568541597 PECOS PAC ID: 8224949821 Enrollment ID: O20031126000326 |
| Entity Name | St Francis Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871895771 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922584481 PECOS PAC ID: 8224949821 Enrollment ID: O20200528000475 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083228779 PECOS PAC ID: 8224949821 Enrollment ID: O20230104003131 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780398461 PECOS PAC ID: 8224949821 Enrollment ID: O20240104003460 |
| Mailing Address | Practice Location Address |
|---|---|
| Deidre J Hudson, MD 201 Business Center Dr, Pawleys Island, SC 29585-6522 Ph: (888) 467-1117 | Deidre J Hudson, MD 201 Business Center Dr, Pawleys Island, SC 29585-6522 Ph: (888) 467-1117 |