Gordy Samuel Hall, MD - Medicare Family Medicine in San Antonio, TX

Gordy Samuel Hall, MD is a medicare enrolled "Family Medicine" physician in San Antonio, Texas. His current practice location is 430 W Sunset Rd Ste 201, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 824-4584.

Gordy Samuel Hall is licensed to practice in Texas (license number G5140) 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 1598762296.

Contact Information

Gordy Samuel Hall, MD
430 W Sunset Rd Ste 201,
San Antonio, TX 78209-1772
(210) 824-4584
(210) 805-8466

Map and Direction




Physician's Profile

Full NameGordy Samuel Hall
GenderMale
SpecialityFamily Medicine
Location430 W Sunset Rd Ste 201, San Antonio, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598762296
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 03/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7012196587
  • Enrollment ID: I20110131000137

Medical Identifiers

Medical identifiers for Gordy Samuel Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598762296NPI-NPPES
124491505OtherTXWELLMED MEDICAID
8A4638OtherTXWELLMED MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G5140 (Texas)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. Gordy Samuel Hall allows following entities to bill medicare on his behalf.
Entity NameMedical Clinic Of North Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033167234
PECOS PAC ID: 9830084540
Enrollment ID: O20040430001258

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. Gordy Samuel 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 AddressPractice Location Address
Gordy Samuel Hall, MD
430 W Sunset Rd Ste 201,
San Antonio, TX 78209-1772

Ph: (210) 824-4584
Gordy Samuel Hall, MD
430 W Sunset Rd Ste 201,
San Antonio, TX 78209-1772

Ph: (210) 824-4584

Reviews and Comments


Family Medicine Doctors in San Antonio, TX

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.