Miss Whitney J Hall, PA-C is a medicare enrolled "Physician Assistant" in Licking, Missouri. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Texas County Memorial Hospital and her current practice location is
233 S Main St, Licking, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 674-3011.
Miss Whitney J Hall is licensed to practice in Missouri (license number 2014031392) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124437330.
Provider's Profile
| Full Name | Miss Whitney J Hall |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 233 S Main St, Licking, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Whitney J Hall graduated from nursing school in 2014
NPI Data:
- NPI Number: 1124437330
- Provider Enumeration Date: 08/13/2014
- Last Update Date: 01/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 2668690850
- Enrollment ID: I20140829001953
Medical Identifiers
Medical identifiers for Miss Whitney J Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124437330 | NPI | - | NPPES |
| 1124437330 | Medicaid | MO | |
| 26D0679044 | Other | MO | CLIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2014027661 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 2014031392 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Texas County Memorial Hospital | 9436041696 | 28 |
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. Miss Whitney J 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 |
|---|
Miss Whitney J Hall, PA-C
Po Box 47,
Licking, MO 65542-0047
Ph: (573) 674-3011 | Miss Whitney J Hall, PA-C
233 S Main St,
Licking, MO 65542-0047
Ph: (573) 674-3011 |
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