David J Huddleston, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Fayetteville, North Carolina. He went to Southern Illinois University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Associated Pathologists Llc and his current practice location is
1638 Owen Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(615) 221-4400.
David J Huddleston is licensed to practice in North Carolina (license number 2019-0237) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033170998.
Physician's Profile
| Full Name | David J Huddleston |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 33 Years |
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| Location | 1638 Owen Dr, Fayetteville, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David J Huddleston attended and graduated from Southern Illinois University School Of Medicine in 1991
NPI Data:
- NPI Number: 1033170998
- Provider Enumeration Date: 03/30/2006
- Last Update Date: 08/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941495766
- Enrollment ID: I20190916002345
Medical Identifiers
Medical identifiers for David J Huddleston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033170998 | NPI | - | NPPES |
| 0360928042 | Medicaid | IL | |
| 220026797 | Other | IL | RR MCR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036092804 (Illinois) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2019-0237 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Associated Pathologists Llc | 0648167544 | 97 |
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. David J Huddleston allows following entities to bill medicare on his behalf.
| Entity Name | Associated Pathologists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003863580
PECOS PAC ID: 0648167544
Enrollment ID: O20190620002644 |
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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. David J Huddleston 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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David J Huddleston, MD
5301 Virginia Way Ste 300,
Brentwood, TN 37027-7542
Ph: (615) 221-4400 | David J Huddleston, MD
1638 Owen Dr,
Fayetteville, NC 28304
Ph: (615) 221-4400 |
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