Deidre J Hudson, MD | |
201 Business Center Dr, Pawleys Island, SC 29585-6522 | |
(888) 467-1117 | |
(888) 990-3903 |
Full Name | Deidre J Hudson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 7 Years |
Location | 201 Business Center Dr, Pawleys Island, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902878218 | NPI | - | NPPES |
190849 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19084 (South Carolina) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kershawhealth | Camden, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sandhills Medical Foundation, Inc. | 8224949821 | 22 |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
Entity Name | Sandhills Medical Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568541597 PECOS PAC ID: 8224949821 Enrollment ID: O20031126000326 |
Entity Name | St Francis Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457057622 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 |
Entity Name | Kershaw Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033593454 PECOS PAC ID: 6608176987 Enrollment ID: O20151119000104 |
Entity Name | Sandhills Medical Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922584481 PECOS PAC ID: 8224949821 Enrollment ID: O20200528000475 |
Mailing Address | Practice Location Address |
---|---|
Deidre J Hudson, MD 201 Business Center Dr, Pawleys Island, SC 29585-6522 Ph: (888) 467-1117 | Deidre J Hudson, MD 201 Business Center Dr, Pawleys Island, SC 29585-6522 Ph: (888) 467-1117 |