Dr Larry Jene Hall, MD is a
Pediatrics physician based in Glide, Oregon. Dr Larry Jene Hall is licensed to practice in Oregon (license number 6527) and his current practice location is 2010 Opportunity Lane, Glide, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 496-4546.
NPI number for Dr Larry Jene Hall is 1225207202 and his current mailing address is 457 Lone Rock Rd, Glide, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225207202.
Physician's Profile
| Full Name | Dr Larry Jene Hall |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 2010 Opportunity Lane, Glide, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225207202
- Provider Enumeration Date: 02/25/2008
- Last Update Date: 02/25/2008
Medical Identifiers
Medical identifiers for Dr Larry Jene Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225207202 | NPI | - | NPPES |
| 080796 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 6527 (Oregon) | 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. Dr Larry Jene Hall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Larry Jene Hall, MD
457 Lone Rock Rd,
Glide, OR 97443-9779
Ph: (541) 496-4546 | Dr Larry Jene Hall, MD
2010 Opportunity Lane,
Glide, OR 97443-9779
Ph: (541) 496-4546 |
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