Dr Kristin Diane Hudacek, MD - Medicare Dermatology in Cupertino, CA

Dr Kristin Diane Hudacek, MD is a medicare enrolled "Dermatology" physician in Cupertino, California. Her current practice location is 20730 Valley Green Dr, Cupertino, California. You can reach out to her office (for appointments etc.) via phone at (408) 783-4000.

Dr Kristin Diane Hudacek is licensed to practice in California (license number A126296) 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 1275760910.

Contact Information

Dr Kristin Diane Hudacek, MD
20730 Valley Green Dr,
Cupertino, CA 95014-1704
(408) 783-4000
Not Available



Physician's Profile

Full NameDr Kristin Diane Hudacek
GenderFemale
SpecialityDermatology
Location20730 Valley Green Dr, Cupertino, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275760910
  • Provider Enumeration Date: 06/21/2009
  • Last Update Date: 10/26/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6507093267
  • Enrollment ID: I20131230001484

Medical Identifiers

Medical identifiers for Dr Kristin Diane Hudacek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275760910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology A126296 (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. Dr Kristin Diane Hudacek allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Dr Kristin Diane Hudacek 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 AddressPractice Location Address
Dr Kristin Diane Hudacek, MD
333 Main St, Apt 327,
Redwood City, CA 94063-1762

Ph: (267) 320-9261
Dr Kristin Diane Hudacek, MD
20730 Valley Green Dr,
Cupertino, CA 95014-1704

Ph: (408) 783-4000

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Dermatology Doctors in Cupertino, CA


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