Tricia Dudek Humphrey, MD in Charleston, SC

Tricia Dudek Humphrey, MD is a medicare enrolled "Pediatrics" physician in Charleston, South Carolina. Her current practice location is 1483 Tobias Gadson Blvd Ste 109, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 556-8110.

Tricia Dudek Humphrey is licensed to practice in South Carolina (license number 40152) 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 1073812731.

Contact Information

	Tricia Dudek Humphrey, MD
	1483 Tobias Gadson Blvd Ste 109, Charleston, SC 29407-4795
	(843) 556-8110
	(843) 556-8112

Map and Direction

Physician's Profile

Full Name	Tricia Dudek Humphrey
Gender	Female
Speciality	Pediatrics
Location	1483 Tobias Gadson Blvd Ste 109, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073812731
Provider Enumeration Date: 03/21/2011
Last Update Date: 01/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6709285646
Enrollment ID: I20210526002657

Medical Identifiers

Medical identifiers for Tricia Dudek Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073812731	NPI	-	NPPES
401522	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	P7427 (Texas)	Secondary
208000000X	Pediatrics	40152 (South Carolina)	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. Tricia Dudek Humphrey allows following entities to bill medicare on her behalf.

Entity Name	Coastal Pediatric Associates, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770700759 PECOS PAC ID: 8426464736 Enrollment ID: O20210311001646

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. Tricia Dudek Humphrey 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
Tricia Dudek Humphrey, MD 1483 Tobias Gadson Blvd Ste 109, Charleston, SC 29407-4795 Ph: (843) 556-8110	Tricia Dudek Humphrey, MD 1483 Tobias Gadson Blvd Ste 109, Charleston, SC 29407-4795 Ph: (843) 556-8110

Reviews and Comments

Pediatrics Doctors in Charleston, SC

Andrew M Atz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265
Hannah Elizabeth Pressler, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave, Charleston, SC 29425 Phone: 843-754-7275

Tricia Dudek Humphrey, MD - Medicare Pediatrics in Charleston, SC