Andrew Dewayne Hudson, MD is a medicare enrolled "Dermatology" physician in Fairview, Texas. His current practice location is
331 Town Pl, Fairview, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 747-0000.
Andrew Dewayne Hudson is licensed to practice in Texas (license number T8561) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700349941.
Physician's Profile
| Full Name | Andrew Dewayne Hudson |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 331 Town Pl, Fairview, Texas |
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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: 1700349941
- Provider Enumeration Date: 04/12/2019
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739500596
- Enrollment ID: I20230524002266
Medical Identifiers
Medical identifiers for Andrew Dewayne Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700349941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | T8561 (Texas) | 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. Andrew Dewayne Hudson allows following entities to bill medicare on his behalf.
| Entity Name | Fairview Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073014114
PECOS PAC ID: 2264795673
Enrollment ID: O20180418000957 |
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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. Andrew Dewayne 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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Andrew Dewayne Hudson, MD
331 Town Pl,
Fairview, TX 75069-1825
Ph: (806) 570-5338 | Andrew Dewayne Hudson, MD
331 Town Pl,
Fairview, TX 75069-1825
Ph: (972) 747-0000 |
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