Mr Gregory Hudson, MD is a medicare enrolled "Pediatrics" physician in South Shore, Kentucky. His current practice location is
137 State Route 3117, South Shore, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 932-2079.
Mr Gregory Hudson is licensed to practice in Kentucky (license number 25242) 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 1245234277.
Physician's Profile
Full Name | Mr Gregory Hudson |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 137 State Route 3117, South Shore, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245234277
- Provider Enumeration Date: 06/08/2005
- Last Update Date: 02/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042310203
- Enrollment ID: I20070719000258
Medical Identifiers
Medical identifiers for Mr Gregory Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245234277 | NPI | - | NPPES |
0816415 | Medicaid | OH | |
7100373950 | Medicaid | KY | |
64252422 | Other | KY | KY MEDICAID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 35061298 (Ohio) | Secondary |
208000000X | Pediatrics | 25242 (Kentucky) | 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 Gregory Hudson allows following entities to bill medicare on his behalf.
Entity Name | Gregory Hudson Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952476335 PECOS PAC ID: 8224138474 Enrollment ID: O20070717000495 |
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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. Mr Gregory 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 Gregory Hudson, MD 137 State Route 3117, South Shore, KY 41175-9597 Ph: (606) 932-2079 | Mr Gregory Hudson, MD 137 State Route 3117, South Shore, KY 41175-9597 Ph: (606) 932-2079 |
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