Dr Robert Hudson, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Ravenna, Ohio. His current practice location is
6847 N Chestnut St, Ravenna, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 297-2765.
Dr Robert Hudson is licensed to practice in Ohio (license number 35-052814) 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 1194769695.
Physician's Profile
| Full Name | Dr Robert Hudson |
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| Gender | Male |
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| Speciality | Anesthesiology - Pain Medicine |
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| Location | 6847 N Chestnut St, Ravenna, Ohio |
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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: 1194769695
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2668664590
- Enrollment ID: I20101008001289
Medical Identifiers
Medical identifiers for Dr Robert Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194769695 | NPI | - | NPPES |
| 0736092 | Medicaid | OH | |
| 000000243549 | Other | OH | ANTHEM PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 35-052814 (Ohio) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 35-052814 (Ohio) | 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 Robert Hudson allows following entities to bill medicare on his behalf.
| Entity Name | University Hospitals Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301 |
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| Entity Name | Northstar Anesthesia Of Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417276429
PECOS PAC ID: 3173648300
Enrollment ID: O20100927000005 |
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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 Robert 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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Dr Robert Hudson, MD
9 Pitkin Dr,
Hudson, OH 44236-2263
Ph: (330) 297-2765 | Dr Robert Hudson, MD
6847 N Chestnut St,
Ravenna, OH 44266-3929
Ph: (330) 297-2765 |
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