Dr Shannon Hudson, MD - Medicare Obstetrics & Gynecology in New York, NY

Dr Shannon Hudson, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in New York, New York. Her current practice location is 90 Maiden Ln, Third Floor, New York, New York. You can reach out to her office (for appointments etc.) via phone at (646) 290-9563.

Dr Shannon Hudson is licensed to practice in New York (license number 211767) 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 1548234701.

Contact Information

Dr Shannon Hudson, MD
90 Maiden Ln, Third Floor,
New York, NY 10038-4831
(646) 290-9563
(212) 532-4362

Map and Direction




Physician's Profile

Full NameDr Shannon Hudson
GenderFemale
SpecialityObstetrics & Gynecology - Gynecology
Location90 Maiden Ln, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548234701
  • Provider Enumeration Date: 02/15/2006
  • Last Update Date: 10/11/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8921160557
  • Enrollment ID: I20081216000446

Medical Identifiers

Medical identifiers for Dr Shannon Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548234701NPI-NPPES
043748486OtherEMPIRE UNITED
113353533OtherMAGNACARE
9734198OtherGHI MEDICAID
P1943708OtherNYOXFORD
043748486OtherNYPHCS
211767OtherHIP
7163020OtherAETNA
043748486OtherMAGNACARE
2268814OtherUNITED HEALTH
6166533OtherNYCIGNA
043748486OtherNYHORIZON
043748486OtherBEECH ST
OMO764OtherNYHEALTHNET
043748486OtherNYGREAT WEST
043748486OtherNYMULTIPLAN
043748486OtherHUMANA INS
3170706OtherNYUSHC HMO
624D91OtherBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology 211767 (New York)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 Shannon Hudson allows following entities to bill medicare on her behalf.
Entity NameMaiden Lane Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497291074
PECOS PAC ID: 2365728698
Enrollment ID: O20170420001654

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 Shannon 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 AddressPractice Location Address
Dr Shannon Hudson, MD
90 Maiden Ln, Third Floor,
New York, NY 10038-4831

Ph: (646) 290-9563
Dr Shannon Hudson, MD
90 Maiden Ln, Third Floor,
New York, NY 10038-4831

Ph: (646) 290-9563

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.