Ms Crystal Hudson, BA is a
Technician, Other based in Pontiac, Michigan. Ms Crystal Hudson is licensed to practice in Michigan (license number ) and her current practice location is
32e, 1200 N Telegraph Rd, Pontiac, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 285-4546.
NPI number for Ms Crystal Hudson is 1629589171 and her current mailing address is 32e, 1200 N Telegraph Rd, Pontiac, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629589171.
Healthcare Provider's Profile
Full Name | Ms Crystal Hudson |
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Gender | Female |
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Speciality | Technician, Other |
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Location | 32e, 1200 N Telegraph Rd, Pontiac, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629589171
- Provider Enumeration Date: 10/23/2017
- Last Update Date: 11/11/2022
Medical Identifiers
Medical identifiers for Ms Crystal Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629589171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP1600X | Counselor - Pastoral | 778071 (Michigan) | Secondary |
101YP1600X | Counselor - Pastoral | 5535479 (* (Not Available)) | Secondary |
101YP1600X | Counselor - Pastoral | (Michigan) | Secondary |
247200000X | Technician, Other | (Michigan) | Primary |
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 Crystal Hudson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Crystal Hudson, BA 32e, 1200 N Telegraph Rd, Pontiac, MI 48341 Ph: (313) 285-4546 | Ms Crystal Hudson, BA 32e, 1200 N Telegraph Rd, Pontiac, MI 48341 Ph: (313) 285-4546 |
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