Mr Jeremy Ray Hudson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Greenvilel, Texas. His current practice location is
4400 Interstate 30 W, Suite 100, Greenvilel, Texas. You can reach out to his office (for appointments etc.) via phone at
(469) 800-3500.
Mr Jeremy Ray Hudson is licensed to practice in Texas (license number 1064785) 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 1801541669.
Provider's Profile
Full Name | Mr Jeremy Ray Hudson |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 4400 Interstate 30 W, Greenvilel, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801541669
- Provider Enumeration Date: 02/19/2022
- Last Update Date: 02/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759740483
- Enrollment ID: I20230628003999
Medical Identifiers
Medical identifiers for Mr Jeremy Ray Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801541669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1064785 (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. Mr Jeremy Ray Hudson allows following entities to bill medicare on his behalf.
Entity Name | Hunt Regional Urgent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033617931 PECOS PAC ID: 1850729682 Enrollment ID: O20200505000566 |
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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. Mr Jeremy Ray 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 |
Mr Jeremy Ray Hudson, FNP-C 4400 Interstate 30 W, Suite 100, Greenvilel, TX 75402 Ph: (469) 800-3500 | Mr Jeremy Ray Hudson, FNP-C 4400 Interstate 30 W, Suite 100, Greenvilel, TX 75402 Ph: (469) 800-3500 |
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