Kelley Rae Hall, is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" in Greenville, Ohio. Her current practice location is
1350 N Broadway, Greenville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 447-8907.
Kelley Rae Hall is licensed to practice in Ohio (license number 021828) 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 1851818314.
Provider's Profile
Full Name | Kelley Rae Hall |
---|
Gender | Female |
---|
Speciality | Family Medicine - Hospice And Palliative Medicine |
---|
Location | 1350 N Broadway, Greenville, Ohio |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851818314
- Provider Enumeration Date: 08/25/2017
- Last Update Date: 02/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204194483
- Enrollment ID: I20171215001960
Medical Identifiers
Medical identifiers for Kelley Rae Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851818314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH1000X | Registered Nurse - Hospice | RN259355 (Ohio) | Secondary |
363L00000X | Nurse Practitioner | 021828 (Ohio) | Secondary |
207QH0002X | Family Medicine - Hospice And Palliative Medicine | 021828 (Ohio) | 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. Kelley Rae Hall allows following entities to bill medicare on her behalf.
Entity Name | Hospice Of Darke County, Inc. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1164400529 PECOS PAC ID: 7618887860 Enrollment ID: O20080813000665 |
---|
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. Kelley Rae 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 |
Kelley Rae Hall, Po Box 392, Gettysburg, OH 45328-0392 Ph: (937) 447-8907 | Kelley Rae Hall, 1350 N Broadway, Greenville, OH 45331 Ph: (937) 447-8907 |
Reviews and Comments