Dr Jennifer Michelle Hudman, MD is a medicare enrolled "Pediatrics" physician in Azle, Texas. Her current practice location is
909 Southeast Pkwy, Suite 101, Azle, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 237-9225.
Dr Jennifer Michelle Hudman is licensed to practice in Texas (license number M0759) 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 1619955432.
Physician's Profile
| Full Name | Dr Jennifer Michelle Hudman |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 909 Southeast Pkwy, Azle, 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: 1619955432
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 05/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 4789601295
- Enrollment ID: I20051024001109
Medical Identifiers
Medical identifiers for Dr Jennifer Michelle Hudman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619955432 | NPI | - | NPPES |
| 175887201 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | M0759 (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. Dr Jennifer Michelle Hudman allows following entities to bill medicare on her behalf.
| Entity Name | Jennifer Hudman, M.d., P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972886497
PECOS PAC ID: 6709803216
Enrollment ID: O20051024001067 |
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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 Jennifer Michelle Hudman 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 |
|---|
Dr Jennifer Michelle Hudman, MD
604 Southeast Pkwy, Suite 101,
Azle, TX 76020-3453
Ph: (817) 270-2320 | Dr Jennifer Michelle Hudman, MD
909 Southeast Pkwy, Suite 101,
Azle, TX 76020-3693
Ph: (817) 237-9225 |
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