Jacqueline Bennett Hudson, PA-C is a medicare enrolled "Physician Assistant" in Wade, North Carolina. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Undefined Non-physician Type (specify). Her current practice location is
7118 Main St, Wade, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 644-6031.
Jacqueline Bennett Hudson is licensed to practice in North Carolina (license number 0010-05649) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194104984.
Provider's Profile
| Full Name | Jacqueline Bennett Hudson |
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| Gender | Female |
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| Speciality | Undefined Non-physician Type (specify) |
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| Experience | 13 Years |
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| Location | 7118 Main St, Wade, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacqueline Bennett Hudson graduated from nursing school in 2013
NPI Data:
- NPI Number: 1194104984
- Provider Enumeration Date: 05/26/2015
- Last Update Date: 02/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214237643
- Enrollment ID: I20260320003221
Medical Identifiers
Medical identifiers for Jacqueline Bennett Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194104984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 0010-05649 (North 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. Jacqueline Bennett Hudson allows following entities to bill medicare on her behalf.
| Entity Name | Integral Mental Healthcare PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750999876 PECOS PAC ID: 4486138047 Enrollment ID: O20260320003099 |
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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. Jacqueline Bennett 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 |
Jacqueline Bennett Hudson, PA-C 7118 Main St, Wade, NC 28395-9749 Ph: (910) 644-6031 | Jacqueline Bennett Hudson, PA-C 7118 Main St, Wade, NC 28395-9749 Ph: (910) 644-6031 |
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