Chandra Tamiko Hall, NP - Medicare Nurse Practitioner in Fairfax, VA

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Chandra Tamiko Hall, NP is a medicare enrolled "Nurse Practitioner" in Fairfax, Virginia. Her current practice location is 3053 Nutley St, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 560-4862.

Chandra Tamiko Hall is licensed to practice in Virginia (license number 0024174838) 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 1053849679.

Contact Information

Chandra Tamiko Hall, NP
3053 Nutley St,
Fairfax, VA 22031-1931
(703) 560-4862
Not Available

Map and Direction




Provider's Profile

Full NameChandra Tamiko Hall
GenderFemale
SpecialityNurse Practitioner
Location3053 Nutley St, Fairfax, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053849679
  • Provider Enumeration Date: 05/26/2017
  • Last Update Date: 09/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1052686557
  • Enrollment ID: I20171010001040

Medical Identifiers

Medical identifiers for Chandra Tamiko Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053849679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024174838 (Virginia)Secondary
363L00000XNurse Practitioner 0024174838 (Virginia)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. Chandra Tamiko Hall allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417076829
PECOS PAC ID: 6709960891
Enrollment ID: O20080228000067
Entity NameBon Secours Medical Group Hampton Roads Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629637475
PECOS PAC ID: 3173955671
Enrollment ID: O20191122000258

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. Chandra Tamiko 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 AddressPractice Location Address
Chandra Tamiko Hall, NP
3002 Wincanton Cv,
Suffolk, VA 23435-2395

Ph: (703) 362-2263		Chandra Tamiko Hall, NP
3053 Nutley St,
Fairfax, VA 22031-1931

Ph: (703) 560-4862

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.