Mrs Shannon Hudson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ovalo, Texas. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Privia Medical Group West Texas, Pllc and her current practice location is
781 Fm 614, Ovalo, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 725-3289.
Mrs Shannon Hudson is licensed to practice in Texas (license number AP139053) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548738032.
Provider's Profile
| Full Name | Mrs Shannon Hudson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 781 Fm 614, Ovalo, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Shannon Hudson graduated from nursing school in 2018
NPI Data:
- NPI Number: 1548738032
- Provider Enumeration Date: 11/02/2018
- Last Update Date: 11/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 3274872890
- Enrollment ID: I20190226002516
Medical Identifiers
Medical identifiers for Mrs Shannon Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548738032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP139053 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Privia Medical Group West Texas, Pllc | 5597747378 | 47 |
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 Shannon Hudson allows following entities to bill medicare on her behalf.
| Entity Name | Privia Medical Group West Texas, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346242567
PECOS PAC ID: 5597747378
Enrollment ID: O20040604000460 |
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| Entity Name | Hendrick Provider Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396961322
PECOS PAC ID: 9739162181
Enrollment ID: O20040609001047 |
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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. Mrs 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 Address | Practice Location Address |
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Mrs Shannon Hudson, FNP
781 Fm 614,
Ovalo, TX 79541-3119
Ph: (325) 725-3289 | Mrs Shannon Hudson, FNP
781 Fm 614,
Ovalo, TX 79541-3119
Ph: (325) 725-3289 |
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