Lois R Halleck, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" physician in Blackwood, New Jersey. Her current practice location is
141 S Black Horse Pike, Suite 104, Blackwood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 292-8216.
Lois R Halleck is licensed to practice in New Jersey (license number 26NJ00003800) 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 1538262704.
Physician's Profile
| Full Name | Lois R Halleck |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 141 S Black Horse Pike, Blackwood, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538262704
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 11/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 3971690330
- Enrollment ID: I20071101000115
Medical Identifiers
Medical identifiers for Lois R Halleck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538262704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 26NR05584600 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ00003800 (New Jersey) | 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. Lois R Halleck allows following entities to bill medicare on her behalf.
| Entity Name | Medical Care Solutions, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104043678
PECOS PAC ID: 8628973955
Enrollment ID: O20031201000406 |
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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. Lois R Halleck 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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Lois R Halleck, NURSE PRACTITIONER
141 S Black Horse Pike, Suite 104,
Blackwood, NJ 08012-2975
Ph: (856) 292-8216 | Lois R Halleck, NURSE PRACTITIONER
141 S Black Horse Pike, Suite 104,
Blackwood, NJ 08012-2975
Ph: (856) 292-8216 |
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