Christina Renee Hall, MSW, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Mentor, Ohio. Her current practice location is
7232 Justin Way, Mentor, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 578-8200.
Christina Renee Hall is licensed to practice in Ohio (license number I.1801299-SUPV) 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 1972859353.
Healthcare Provider's Profile
| Full Name | Christina Renee Hall |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 7232 Justin Way, Mentor, Ohio |
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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: 1972859353
- Provider Enumeration Date: 08/03/2012
- Last Update Date: 03/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355595257
- Enrollment ID: I20170913003264
Medical Identifiers
Medical identifiers for Christina Renee Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972859353 | NPI | - | NPPES |
| 0342396 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | I.1801299 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.015380 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1801299-SUPV (Ohio) | 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. Christina Renee Hall allows following entities to bill medicare on her behalf.
| Entity Name | Duke University Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376574798
PECOS PAC ID: 2567372345
Enrollment ID: O20031126000274 |
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| Entity Name | Serendipity Therapy, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538493770
PECOS PAC ID: 8022133164
Enrollment ID: O20100914000292 |
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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. Christina Renee Hall 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 |
|---|
Christina Renee Hall, MSW, LISW-S
7232 Justin Way,
Mentor, OH 44060-4881
Ph: (440) 578-8200 | Christina Renee Hall, MSW, LISW-S
7232 Justin Way,
Mentor, OH 44060-4881
Ph: (440) 578-8200 |
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