Lisa D Hall, DMD is a medicare enrolled "Dentist" provider in Beattyville, Kentucky. Her current practice location is
60 Center St, Beattyville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 464-9262.
Lisa D Hall is licensed to practice in Kentucky (license number 6568) 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 1417078023.
Healthcare Provider's Profile
Full Name | Lisa D Hall |
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Gender | Female |
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Speciality | Dentist |
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Location | 60 Center St, Beattyville, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417078023
- Provider Enumeration Date: 04/02/2007
- Last Update Date: 03/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335435098
- Enrollment ID: I20160906001285
Medical Identifiers
Medical identifiers for Lisa D Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417078023 | NPI | - | NPPES |
6568 | Other | KY | KY LICENSE KENTUCKY DENTA |
60065687 | Medicaid | KY | |
31000862 | Other | KY | MEDICAID FQHC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 6568 (Kentucky) | Primary |
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. Lisa D 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 |
Lisa D Hall, DMD Po Box 690, Beattyville, KY 41311-0690 Ph: (606) 464-0151 | Lisa D Hall, DMD 60 Center St, Beattyville, KY 41311-9085 Ph: (606) 464-9262 |
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