Jacina Hall, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is
312 W Millbrook Rd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 876-4953.
Jacina Hall is licensed to practice in North Carolina (license number C013970) 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 1972074920.
Healthcare Provider's Profile
| Full Name | Jacina Hall |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 312 W Millbrook Rd, Raleigh, North Carolina |
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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: 1972074920
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 12/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688048218
- Enrollment ID: I20230322003165
Medical Identifiers
Medical identifiers for Jacina Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972074920 | NPI | - | NPPES |
| 05 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C013970 (North Carolina) | 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. Jacina Hall allows following entities to bill medicare on her behalf.
| Entity Name | Miracles Healing Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962597732
PECOS PAC ID: 8729273594
Enrollment ID: O20101108000319 |
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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. Jacina 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 |
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Jacina Hall, LCSW
312 W Millbrook Rd Ste 129,
Raleigh, NC 27609-4398
Ph: () - | Jacina Hall, LCSW
312 W Millbrook Rd,
Raleigh, NC 27609-4389
Ph: (919) 876-4953 |
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