Laurita Old Hudec, DNP APRN WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Jbsa Fort Sam Houston, Texas. Her current practice location is
3351 Roger Brooke Drive, Jbsa Fort Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 916-4141.
Laurita Old Hudec is licensed to practice in Texas (license number AP114128) 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 1508078742.
Provider's Profile
| Full Name | Laurita Old Hudec |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Women's Health |
|---|
| Location | 3351 Roger Brooke Drive, Jbsa Fort Sam Houston, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1508078742
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 04/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830494418
- Enrollment ID: I20160218001934
Medical Identifiers
Medical identifiers for Laurita Old Hudec such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508078742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | AP114128 (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. Laurita Old Hudec allows following entities to bill medicare on her behalf.
| Entity Name | Patricia K. Brougher, Md, Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1548545742
PECOS PAC ID: 0547437980
Enrollment ID: O20120125000544 |
|---|
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. Laurita Old Hudec 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 |
|---|
Laurita Old Hudec, DNP APRN WHNP-BC
3551 Roger Brooke Dr,
Jbsa Ft Sam Houston, TX 78234-4504
Ph: () - | Laurita Old Hudec, DNP APRN WHNP-BC
3351 Roger Brooke Drive,
Jbsa Fort Sam Houston, TX 78234-4504
Ph: (210) 916-4141 |
Reviews and Comments