Savannah Elizabeth-marie Hall, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Springfield, Missouri. Her current practice location is
1505 E Bradford Pkwy, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 322-6622.
Savannah Elizabeth-marie Hall is licensed to practice in Missouri (license number 2023000935) 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 1407560857.
Physician's Profile
| Full Name | Savannah Elizabeth-marie Hall |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 1505 E Bradford Pkwy, Springfield, Missouri |
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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: 1407560857
- Provider Enumeration Date: 01/10/2023
- Last Update Date: 05/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476924234
- Enrollment ID: I20230309001441
Medical Identifiers
Medical identifiers for Savannah Elizabeth-marie Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407560857 | NPI | - | NPPES |
| 420119138 | Medicaid | MO | |
| 297221758 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2023000935 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2023000935 (Missouri) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 223532 (Arkansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2023000935 (Missouri) | 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. Savannah Elizabeth-marie Hall allows following entities to bill medicare on her behalf.
| Entity Name | Honour Brite Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548760820
PECOS PAC ID: 3971864588
Enrollment ID: O20201221002836 |
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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. Savannah Elizabeth-marie 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 |
|---|
Savannah Elizabeth-marie Hall, FNP
3600 S National Ave,
Springfield, MO 65807-7311
Ph: (417) 322-6622 | Savannah Elizabeth-marie Hall, FNP
1505 E Bradford Pkwy,
Springfield, MO 65804-6566
Ph: (417) 322-6622 |
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