Lyn Hall, is a medicare enrolled "Counselor - Professional" provider in Boulder City, Nevada. His current practice location is
100 Saint Judes St, Boulder City, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 294-7188.
Lyn Hall is licensed to practice in Nevada (license number CI3076) 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 1013363480.
Healthcare Provider's Profile
| Full Name | Lyn Hall |
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| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 100 Saint Judes St, Boulder City, Nevada |
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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: 1013363480
- Provider Enumeration Date: 05/04/2016
- Last Update Date: 12/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 6406294776
- Enrollment ID: I20240404004367
Medical Identifiers
Medical identifiers for Lyn Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013363480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | CI3076 (Nevada) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | CI3076 (Nevada) | 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. Lyn Hall allows following entities to bill medicare on his behalf.
| Entity Name | Compassionate Heart Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467112169
PECOS PAC ID: 7113301920
Enrollment ID: O20240401002602 |
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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. Lyn 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 |
|---|
Lyn Hall,
100 Saint Judes St,
Boulder City, NV 89005-1614
Ph: () - | Lyn Hall,
100 Saint Judes St,
Boulder City, NV 89005-1614
Ph: (702) 294-7188 |
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