Ms Kelly A Hudock, CRNP is a medicare enrolled "Nurse Practitioner - Family" physician in Allentown, Pennsylvania. Her current practice location is
1605 N Cedar Crest Blvd Ste 110b, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 973-1410.
Ms Kelly A Hudock is licensed to practice in Pennsylvania (license number VP006579B) 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 1639137771.
Physician's Profile
| Full Name | Ms Kelly A Hudock |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1605 N Cedar Crest Blvd Ste 110b, Allentown, Pennsylvania |
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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: 1639137771
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385691963
- Enrollment ID: I20080410000704
Medical Identifiers
Medical identifiers for Ms Kelly A Hudock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639137771 | NPI | - | NPPES |
| 2318736 | Other | NJ | AETNA |
| 223733353 | Other | NJ | HORIZON |
| 8440506 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | NN095449NJ (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | VP006579B (Pennsylvania) | Primary |
| 207Q00000X | Family Medicine | VP006579B (Pennsylvania) | Secondary |
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. Ms Kelly A Hudock allows following entities to bill medicare on her behalf.
| Entity Name | Hcr Manorcare Medical Services Of Florida Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386750420
PECOS PAC ID: 2264338532
Enrollment ID: O20041230000181 |
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| Entity Name | Rosenfeld Vanwirt Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629402680
PECOS PAC ID: 5698909117
Enrollment ID: O20131016000052 |
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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. Ms Kelly A Hudock 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 |
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Ms Kelly A Hudock, CRNP
1605 N Cedar Crest Blvd Ste 110b,
Allentown, PA 18104-2351
Ph: (610) 973-1410 | Ms Kelly A Hudock, CRNP
1605 N Cedar Crest Blvd Ste 110b,
Allentown, PA 18104-2351
Ph: (610) 973-1410 |
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