Mrs Raven Parker Hodges, PMHNP-BC in Birmingham, AL

Mrs Raven Parker Hodges, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Birmingham, Alabama. Her current practice location is 1430 Gadsden Hwy Ste 116-917, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (208) 623-9050.

Mrs Raven Parker Hodges is licensed to practice in Alabama (license number 1-172760) 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 1629718374.

Contact Information

	Mrs Raven Parker Hodges, PMHNP-BC
	1430 Gadsden Hwy Ste 116-917, Birmingham, AL 35235-3103
	(208) 623-9050
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Raven Parker Hodges
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1430 Gadsden Hwy Ste 116-917, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629718374
Provider Enumeration Date: 03/30/2022
Last Update Date: 12/13/2024

Medicare PECOS Information:

PECOS PAC ID: 4789119918
Enrollment ID: I20241126000203

Medical Identifiers

Medical identifiers for Mrs Raven Parker Hodges such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629718374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	894600 (Mississippi)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1-172760 (Alabama)	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. Mrs Raven Parker Hodges allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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. Mrs Raven Parker Hodges 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
Mrs Raven Parker Hodges, PMHNP-BC 17640 Eastmoor St, Athens, AL 35611-2175 Ph: (208) 623-9050	Mrs Raven Parker Hodges, PMHNP-BC 1430 Gadsden Hwy Ste 116-917, Birmingham, AL 35235-3103 Ph: (208) 623-9050

Reviews and Comments

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Mrs Raven Parker Hodges, PMHNP-BC - Medicare Nurse Practitioner in Birmingham, AL