Jeffrey Thomas Hodgson, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Banning, California. His current practice location is
519 S Shoal Creek St, Banning, California. You can reach out to his office (for appointments etc.) via phone at
(530) 966-3675.
Jeffrey Thomas Hodgson is licensed to practice in California (license number 10700) 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 1073724399.
Healthcare Provider's Profile
| Full Name | Jeffrey Thomas Hodgson |
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| Gender | Male |
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| Speciality | Speech-language Pathologist |
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| Location | 519 S Shoal Creek St, Banning, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073724399
- Provider Enumeration Date: 05/25/2007
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 9335416551
- Enrollment ID: I20170518001539
Medical Identifiers
Medical identifiers for Jeffrey Thomas Hodgson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073724399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 10700 (California) | 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. Jeffrey Thomas Hodgson allows following entities to bill medicare on his behalf.
| Provider Name | Permanente Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Jeffrey Thomas Hodgson 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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Jeffrey Thomas Hodgson, MS CCC-SLP
519 S Shoal Creek St,
Banning, CA 92220-5210
Ph: (530) 966-3675 | Jeffrey Thomas Hodgson, MS CCC-SLP
519 S Shoal Creek St,
Banning, CA 92220-5210
Ph: (530) 966-3675 |
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