Jessica Katherine Hall, is a medicare enrolled "Nurse Practitioner" physician in Grosse Pointe, Michigan. Her current practice location is
468 Cadieux Rd, Grosse Pointe, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 473-1605.
Jessica Katherine Hall is licensed to practice in Michigan (license number 4704272780) 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 1992223762.
Physician's Profile
Full Name | Jessica Katherine Hall |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 468 Cadieux Rd, Grosse Pointe, Michigan |
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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: 1992223762
- Provider Enumeration Date: 08/31/2017
- Last Update Date: 05/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931467396
- Enrollment ID: I20171213001866
Medical Identifiers
Medical identifiers for Jessica Katherine Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992223762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 4704272780 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | AP134654 (Texas) | Secondary |
363L00000X | Nurse Practitioner | 4704272780 (Michigan) | 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. Jessica Katherine Hall allows following entities to bill medicare on her behalf.
Entity Name | Longhorn Emergency Medical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
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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. Jessica Katherine 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 |
Jessica Katherine Hall, 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: () - | Jessica Katherine Hall, 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 Ph: (313) 473-1605 |
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