Poala D Prude-hall, MD in Lansing, MI - Medicare Family Medicine

Poala D Prude-hall, MD is a medicare enrolled "Family Medicine" physician in Lansing, Michigan. Her current practice location is 505 N Clippert St, Lansing Urgent Care, Lansing, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 333-9200.

Poala D Prude-hall is licensed to practice in Michigan (license number 4301058586) 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 1093889503.

Contact Information

	Poala D Prude-hall, MD
	505 N Clippert St, Lansing Urgent Care, Lansing, MI 48912-4701
	(517) 333-9200
	(517) 333-9201

Map and Direction

Physician's Profile

Full Name	Poala D Prude-hall
Gender	Female
Speciality	Family Medicine
Location	505 N Clippert St, Lansing, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093889503
Provider Enumeration Date: 11/17/2006
Last Update Date: 11/15/2013

Medicare PECOS Information:

PECOS PAC ID: 0547214215
Enrollment ID: I20050304000728

Medical Identifiers

Medical identifiers for Poala D Prude-hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093889503	NPI	-	NPPES
PP058586	Other		CHAMPUS-CHAMPUS
PP058586	Other		COMMERCIAL-COMMERCIAL NUMBER
327176910	Medicaid	MI
080H262390	Other		BLUE CROSS-BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301058586 (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. Poala D Prude-hall allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

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. Poala D Prude-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
Poala D Prude-hall, MD 505 North Clippert, Lansing, MI 48912 Ph: (517) 333-9200	Poala D Prude-hall, MD 505 N Clippert St, Lansing Urgent Care, Lansing, MI 48912-4701 Ph: (517) 333-9200

Reviews and Comments

Family Medicine Doctors in Lansing, MI

Daniel Francis Bouchard, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1215 E Michigan Ave, Osteopathic Internship Sparrow Hospital, Lansing, MI 48912 Phone: 231-955-3360
Dr. Deja Danielle Rice, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Sparrow Health Systems 1215 E Michigan Avenue, Lansing, MI 48912 Phone: 517-364-5710
Jana Haidar Ahmad, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-5710
Shimia Isaac, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Michigan Ave, Suite 245, Lansing, MI 48912 Phone: 517-364-5772
Katrina Anne Weirauch Engle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Michigan Ave, Suite 245-c, Lansing, MI 48912 Phone: 517-364-5772 Fax: 517-364-5764
David Jonathan Pohl, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake Lansing Rd Ste 202, Lansing, MI 48912 Phone: 517-913-3820 Fax: 517-913-3821
Dr. Harshini A Jayasuriya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 N Washington Sq Ste 300, Lansing, MI 48933 Phone: 517-258-0344 Fax: 517-879-0374

Poala D Prude-hall, MD - Medicare Family Medicine in Lansing, MI