Laramie Hall, PA is a medicare enrolled "Physician Assistant" physician in Mesa, Arizona. Her current practice location is
1400 S Dobson Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 412-3000.
Laramie Hall is licensed to practice in Arizona (license number 10566) 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 1063138170.
Physician's Profile
Full Name | Laramie Hall |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1400 S Dobson Rd, Mesa, Arizona |
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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: 1063138170
- Provider Enumeration Date: 10/19/2022
- Last Update Date: 11/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810359742
- Enrollment ID: I20230809002965
Medical Identifiers
Medical identifiers for Laramie Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063138170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 4865 (Oklahoma) | Secondary |
363A00000X | Physician Assistant | 10566 (Arizona) | Primary |
363A00000X | Physician Assistant | 15-02718 (Kansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Kansas) | Secondary |
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. Laramie 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 |
Laramie Hall, PA 674 Belmar Blvd, Norman, OK 73071-8006 Ph: (405) 740-8459 | Laramie Hall, PA 1400 S Dobson Rd, Mesa, AZ 85202-4707 Ph: (480) 412-3000 |
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