Kanan H Hudhud, MD in Eden, NC - Medicare Internal Medicine

Kanan H Hudhud, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Eden, North Carolina. His current practice location is 516 S Van Buren Rd, Eden, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 623-9713.

Kanan H Hudhud is licensed to practice in Maryland (license number D41866) 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 1528069226.

Contact Information

	Kanan H Hudhud, MD
	516 S Van Buren Rd, Eden, NC 27288-5019
	(336) 623-9713
	(336) 623-1031

Map and Direction

Physician's Profile

Full Name	Kanan H Hudhud
Gender	Male
Speciality	Internal Medicine - Hematology & Oncology
Location	516 S Van Buren Rd, Eden, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528069226
Provider Enumeration Date: 08/03/2005
Last Update Date: 12/17/2024

Medicare PECOS Information:

PECOS PAC ID: 3678465135
Enrollment ID: I20231108004063

Medical Identifiers

Medical identifiers for Kanan H Hudhud such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528069226	NPI	-	NPPES
01960001	Other	MD	CAREFIRST FEDERAL
3601024	Other	MD	UNITED HEALTHCARE
52567805	Other	MD	CAREFIRST
0081294000	Medicaid	WV
75884400	Medicaid	MD
3810004318	Other	WV	CLIA NUMBER
4320060	Other	MD	AETNA
522074387	Other	MD	TAX ID
452203	Other	MD	MAMSI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RX0202X	Internal Medicine - Medical Oncology	20263 (West Virginia)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	D41866 (Maryland)	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. Kanan H Hudhud allows following entities to bill medicare on his behalf.

Entity Name	Hospital Development Co.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790745677 PECOS PAC ID: 4183527476 Enrollment ID: O20040406000528

Entity Name	Camden-clark Physician Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570

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. Kanan H Hudhud 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
Kanan H Hudhud, MD 46b Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4300 Ph: (301) 695-6777	Kanan H Hudhud, MD 516 S Van Buren Rd, Eden, NC 27288-5019 Ph: (336) 623-9713

Reviews and Comments

Internal Medicine Doctors in Eden, NC

Dr. Xaje A Hasanaj, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 507 Highland Park Dr, Eden, NC 27288 Phone: 336-623-5021 Fax: 336-623-7902
Dr. Lillian P Burke, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 516 S Van Buren Rd, Eden, NC 27288 Phone: 336-623-6862 Fax: 336-623-1031
Dr. Kevin Andrew Friede, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 518 S Van Buren Rd Ste 3, Eden, NC 27288 Phone: 336-864-3130
Suresh A Koneswaran, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 518 S Van Buren Rd, Suite 3, Eden, NC 27288 Phone: 336-623-7881 Fax: 336-623-5457
Maricer P Escalon, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 516 S Van Buren Rd, Eden, NC 27288 Phone: 336-623-6862 Fax: 336-623-1031
Michael Halista, Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 518 S Van Buren Rd Ste 3, Eden, NC 27288 Phone: 336-864-3130
Dr. Eric Sherwood Neijstrom, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 516 S Van Buren Rd, Eden, NC 27288 Phone: 336-623-9713 Fax: 336-623-1031

Kanan H Hudhud, MD - Medicare Internal Medicine in Eden, NC