Charissa L Hallman, APRN in Louisville, KY - Medicare Nurse Practitioner

Charissa L Hallman, APRN is a medicare enrolled "Nurse Practitioner" in Louisville, Kentucky. Her current practice location is 4003 Kresge Way Ste 300, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 897-5139.

Charissa L Hallman is licensed to practice in Kentucky (license number 3006581) 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 1154621746.

Contact Information

	Charissa L Hallman, APRN
	4003 Kresge Way Ste 300, Louisville, KY 40207-4652
	(502) 897-5139
	(502) 896-6218

Map and Direction

Provider's Profile

Full Name	Charissa L Hallman
Gender	Female
Speciality	Nurse Practitioner
Location	4003 Kresge Way Ste 300, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154621746
Provider Enumeration Date: 10/28/2010
Last Update Date: 08/19/2019

Medicare PECOS Information:

PECOS PAC ID: 9537358130
Enrollment ID: I20110113000344

Medical Identifiers

Medical identifiers for Charissa L Hallman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154621746	NPI	-	NPPES
7101143520	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3006581 (Kentucky)	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. Charissa L Hallman allows following entities to bill medicare on her behalf.

Entity Name	Surgical Care Associates Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598745283 PECOS PAC ID: 8729984232 Enrollment ID: O20031208000303

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. Charissa L Hallman 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
Charissa L Hallman, APRN 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 Ph: (502) 897-5139	Charissa L Hallman, APRN 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 Ph: (502) 897-5139

Reviews and Comments

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Charissa L Hallman, APRN - Medicare Nurse Practitioner in Louisville, KY