Synita Mequinn Hudgins, PHD is a medicare enrolled "Psychologist - Forensic" provider in Marietta, Georgia. Her current practice location is
55 Atlanta Street Se, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(470) 407-3127.
Synita Mequinn Hudgins is licensed to practice in Georgia (license number PSY004326) 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 1811285836.
Healthcare Provider's Profile
| Full Name | Synita Mequinn Hudgins |
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| Gender | Female |
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| Speciality | Psychologist - Forensic |
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| Location | 55 Atlanta Street Se, Marietta, Georgia |
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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: 1811285836
- Provider Enumeration Date: 07/11/2011
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133585896
- Enrollment ID: I20230607001701
Medical Identifiers
Medical identifiers for Synita Mequinn Hudgins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811285836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 004946 (Georgia) | Secondary |
| 103T00000X | Psychologist | PSY004326 (Georgia) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PSY004326 (Georgia) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY004326 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY004326 (Georgia) | Secondary |
| 103TF0200X | Psychologist - Forensic | PSY004326 (Georgia) | Primary |
| 103TH0100X | Psychologist - Health Service | PSY004326 (Georgia) | 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. Synita Mequinn Hudgins allows following entities to bill medicare on her behalf.
| Entity Name | North Atlanta Mental Health, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376269738
PECOS PAC ID: 4789040445
Enrollment ID: O20230523000423 |
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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. Synita Mequinn Hudgins 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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Synita Mequinn Hudgins, PHD
2774 Cobb Pkwy Nw, Suite 109, #379,
Kennesaw, GA 30152
Ph: (470) 407-3127 | Synita Mequinn Hudgins, PHD
55 Atlanta Street Se,
Marietta, GA 30060
Ph: (470) 407-3127 |
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