Dr Charles Buford Huddleston, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in St. Louis, Missouri. His current practice location is
1465 South Grand Blvd., Suite 5730 Cardinal Glennon Hosp., St. Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 268-4183.
Dr Charles Buford Huddleston is licensed to practice in Missouri (license number R7N52) 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 1942226162.
Physician's Profile
| Full Name | Dr Charles Buford Huddleston |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 1465 South Grand Blvd., St. Louis, Missouri |
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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: 1942226162
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 04/24/2014
Medicare PECOS Information:
- PECOS PAC ID: 9032240676
- Enrollment ID: I20100626000122
Medical Identifiers
Medical identifiers for Dr Charles Buford Huddleston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942226162 | NPI | - | NPPES |
| 202874004 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | R7N52 (Missouri) | 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. Dr Charles Buford Huddleston allows following entities to bill medicare on his behalf.
| Entity Name | Ssm Health Care Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655 |
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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. Dr Charles Buford 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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Dr Charles Buford Huddleston, MD
1465 South Grand Blvd., Suite 5730 Cardinal Glennon Hosp.,
St. Louis, MO 63104-1095
Ph: (314) 268-4183 | Dr Charles Buford Huddleston, MD
1465 South Grand Blvd., Suite 5730 Cardinal Glennon Hosp.,
St. Louis, MO 63104-1095
Ph: (314) 268-4183 |
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