Hallie Elizabeth Gonzalez, CNM is a medicare enrolled "Registered Nurse - Women's Health Care, Ambulatory" in Hartford, Michigan. Her current practice location is
301 N Center St, Hartford, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 621-0011.
Hallie Elizabeth Gonzalez is licensed to practice in Michigan (license number 4704308081) 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 1275106148.
Provider's Profile
| Full Name | Hallie Elizabeth Gonzalez |
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| Gender | Female |
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| Speciality | Registered Nurse - Women's Health Care, Ambulatory |
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| Location | 301 N Center St, Hartford, Michigan |
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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: 1275106148
- Provider Enumeration Date: 07/20/2021
- Last Update Date: 11/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305295189
- Enrollment ID: I20231206001778
Medical Identifiers
Medical identifiers for Hallie Elizabeth Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275106148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 4704308081 (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. Hallie Elizabeth Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Emmaus Health Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851870653
PECOS PAC ID: 6204237365
Enrollment ID: O20210625002576 |
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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. Hallie Elizabeth Gonzalez 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 |
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Hallie Elizabeth Gonzalez, CNM
301 N Center St,
Hartford, MI 49057-1199
Ph: (269) 621-0011 | Hallie Elizabeth Gonzalez, CNM
301 N Center St,
Hartford, MI 49057-1199
Ph: (269) 621-0011 |
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