Mrs Jaclyn Eva Hall, RDN, LDN is a medicare enrolled "Dietitian, Registered" provider in Nags Head, North Carolina. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Outer Banks Professional Services, Llc and her current practice location is
4800 S Croatan Hwy, Nags Head, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 449-7301.
Mrs Jaclyn Eva Hall is licensed to practice in North Carolina (license number L004102) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154721140.
Healthcare Provider's Profile
| Full Name | Mrs Jaclyn Eva Hall |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 17 Years |
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| Location | 4800 S Croatan Hwy, Nags Head, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jaclyn Eva Hall graduated from medical school in 2008
NPI Data:
- NPI Number: 1154721140
- Provider Enumeration Date: 08/27/2014
- Last Update Date: 05/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 5294079646
- Enrollment ID: I20181212000287
Medical Identifiers
Medical identifiers for Mrs Jaclyn Eva Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154721140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | L004102 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Outer Banks Professional Services, Llc | 3173652096 | 83 |
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. Mrs Jaclyn Eva Hall allows following entities to bill medicare on her behalf.
| Provider Name | Healthaccess, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427010578
PECOS PAC ID: 5395658322
Enrollment ID: O20031106000513 |
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| Provider Name | Outer Banks Professional Services, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891050357
PECOS PAC ID: 3173652096
Enrollment ID: O20100602000156 |
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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. Mrs Jaclyn Eva 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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Mrs Jaclyn Eva Hall, RDN, LDN
4800 S Croatan Hwy,
Nags Head, NC 27959-9704
Ph: (252) 449-7301 | Mrs Jaclyn Eva Hall, RDN, LDN
4800 S Croatan Hwy,
Nags Head, NC 27959-9704
Ph: (252) 449-7301 |
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