Melinda Hall Hacker, DDS is a medicare enrolled "Dentist" provider in Carrizozo, New Mexico. Her current practice location is
710 Ave E, Carrizozo, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 648-2839.
Melinda Hall Hacker is licensed to practice in New Mexico (license number DD2688) 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 1417982141.
Healthcare Provider's Profile
Full Name | Melinda Hall Hacker |
---|
Gender | Female |
---|
Speciality | Dentist |
---|
Location | 710 Ave E, Carrizozo, New Mexico |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417982141
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 09/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608871645
- Enrollment ID: I20060925000470
Medical Identifiers
Medical identifiers for Melinda Hall Hacker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417982141 | NPI | - | NPPES |
PENDING | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DD2688 (New Mexico) | 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. Melinda Hall Hacker allows following entities to bill medicare on her behalf.
Entity Name | Presbyterian Healthcare Services |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
---|
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. Melinda Hall Hacker 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 |
Melinda Hall Hacker, DDS Po Box 26666, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Melinda Hall Hacker, DDS 710 Ave E, Carrizozo, NM 88301-0008 Ph: (575) 648-2839 |
Reviews and Comments