Jack Tyson Hall, FNP-C in Montgomery, AL - Medicare Nurse Practitioner

Jack Tyson Hall, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Montgomery, Alabama. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southeastern Cardiology Consultants, Health Care Authority For Baptist Health, An Affiliate Of Uabhs and his current practice location is 2119 E South Blvd Ste 200, Montgomery, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 613-7070.

Jack Tyson Hall is licensed to practice in Alabama (license number 1-123271) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669930145.

Contact Information

	Jack Tyson Hall, FNP-C
	2119 E South Blvd Ste 200, Montgomery, AL 36116-2496
	(334) 613-7070
	Not Available

Map and Direction

Provider's Profile

Full Name	Jack Tyson Hall
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	2119 E South Blvd Ste 200, Montgomery, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jack Tyson Hall graduated from nursing school in 2018

NPI Data:

NPI Number: 1669930145
Provider Enumeration Date: 03/04/2019
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9830422724
Enrollment ID: I20190607001581

Medical Identifiers

Medical identifiers for Jack Tyson Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669930145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-123271 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Medical Center South	Montgomery, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Cardiology Consultants	0840280368	8
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	8426076670	191

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. Jack Tyson Hall allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Cardiology Consultants
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114080926 PECOS PAC ID: 0840280368 Enrollment ID: O20040517000546

Entity Name	Health Care Authority For Baptist Health, An Affiliate Of Uabhs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982653390 PECOS PAC ID: 8426076670 Enrollment ID: O20060220000538

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913

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. Jack Tyson 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
Jack Tyson Hall, FNP-C 301 Brown Springs Rd, Montgomery, AL 36117-7005 Ph: () -	Jack Tyson Hall, FNP-C 2119 E South Blvd Ste 200, Montgomery, AL 36116-2496 Ph: (334) 613-7070

Reviews and Comments

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Kathryn Nicole Logan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116 Phone: 334-747-7780 Fax: 334-747-7790
Mrs. Katelyn Perry Barnes, NP-C, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 488 Saint Lukes Dr, Montgomery, AL 36117 Phone: 334-288-7808 Fax: 334-288-8089
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Dr. Morgan Renee Carter, DNP, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4145 Carmichael Rd, Montgomery, AL 36106 Phone: 334-273-7000 Fax: 334-273-2228
Kaitlyn Wells, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6940 Winton Blount Blvd, Montgomery, AL 36117 Phone: 334-279-9211
Angela K Rayborn, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1725 W 4th St # Na, Montgomery, AL 36106 Phone: 334-262-2071
Brittney Marie Barber, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7065 Sydney Curv, Montgomery, AL 36117 Phone: 334-495-2600 Fax: 334-495-2604

Jack Tyson Hall, FNP-C - Medicare Nurse Practitioner in Montgomery, AL