Clive Russell Hallam, LMFT - Medicare Couples Therapy in Pueblo West, CO

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Clive Russell Hallam, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Pueblo West, Colorado. His current practice location is 19 E Abarr Dr, Pueblo West, Colorado. You can reach out to his office (for appointments etc.) via phone at (435) 817-0155.

Clive Russell Hallam is licensed to practice in Colorado (license number 0001268) 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 1811154321.

Contact Information

Clive Russell Hallam, LMFT
19 E Abarr Dr,
Pueblo West, CO 81007-5436
(435) 817-0155
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameClive Russell Hallam
GenderMale
SpecialityMarriage & Family Therapist
Location19 E Abarr Dr, Pueblo West, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811154321
  • Provider Enumeration Date: 05/21/2008
  • Last Update Date: 01/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860876653
  • Enrollment ID: I20240318001418

Medical Identifiers

Medical identifiers for Clive Russell Hallam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811154321NPI-NPPES
48800074MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor LMFT 134 (Wyoming)Secondary
106H00000XMarriage & Family Therapist 8971102-3902 (Utah)Secondary
106H00000XMarriage & Family Therapist 0001268 (Colorado)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. Clive Russell Hallam allows following entities to bill medicare on his behalf.
Entity NameSondermind Provider Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210113002826

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. Clive Russell Hallam 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
Clive Russell Hallam, LMFT
Po Box 7425,
Pueblo West, CO 81007-0425

Ph: (435) 817-0155		Clive Russell Hallam, LMFT
19 E Abarr Dr,
Pueblo West, CO 81007-5436

Ph: (435) 817-0155

Reviews and Comments


Marriage & Family Therapist in Pueblo West, CO

Glenn J Anderson,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 19 E Abarr Dr, Pueblo West, CO 81007
Phone: 719-404-6618    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.