Samuel David Hudson, MD is a medicare enrolled "Pediatrics" physician in South Shore, Kentucky. He went to University Of Kentucky College Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Pediatric Medicine. 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.
Samuel David Hudson is licensed to practice in Kentucky (license number 56722) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1912560202.
Physician's Profile
| Full Name | Samuel David Hudson |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 5 Years |
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| Location | 137 State Route 3117, South Shore, Kentucky |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samuel David Hudson attended and graduated from University Of Kentucky College Of Medicine in 2019
NPI Data:
- NPI Number: 1912560202
- Provider Enumeration Date: 04/22/2019
- Last Update Date: 06/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214317254
- Enrollment ID: I20220707002782
Medical Identifiers
Medical identifiers for Samuel David Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912560202 | NPI | - | NPPES |
| 0492219 | Other | OH | OHIO MEDICAID |
| 7100681350 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 56722 (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. Samuel David 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. Samuel David 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 |
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Samuel David Hudson, MD
137 State Route 3117,
South Shore, KY 41175-9597
Ph: (606) 932-2079 | Samuel David Hudson, MD
137 State Route 3117,
South Shore, KY 41175-9597
Ph: (606) 932-2079 |
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