Mrs Cecelia Fogle Hall, is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Columbia, South Carolina. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prisma Health Medical Group-midlands and her current practice location is
1333 Taylor St Ste 5f, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 434-4790.
Mrs Cecelia Fogle Hall is licensed to practice in South Carolina (license number 21544) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912487422.
Physician's Profile
Full Name | Mrs Cecelia Fogle Hall |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 1333 Taylor St Ste 5f, Columbia, South Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Cecelia Fogle Hall graduated from medical school in 2017
NPI Data:
- NPI Number: 1912487422
- Provider Enumeration Date: 08/15/2018
- Last Update Date: 03/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 1254685753
- Enrollment ID: I20181120002052
Medical Identifiers
Medical identifiers for Mrs Cecelia Fogle Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912487422 | NPI | - | NPPES |
NP5510 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 21544 (South Carolina) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 21544 (South Carolina) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 21544 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Prisma Health Medical Group-midlands | 5991099707 | 881 |
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. Mrs Cecelia Fogle Hall allows following entities to bill medicare on her behalf.
Entity Name | Prisma Health Medical Group-midlands |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
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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. Mrs Cecelia Fogle 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 |
Mrs Cecelia Fogle Hall, Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7320 | Mrs Cecelia Fogle Hall, 1333 Taylor St Ste 5f, Columbia, SC 29201-2951 Ph: (803) 434-4790 |
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