Mr Larry D Hall Jr, | |
3010 15th Ave S, Great Falls, MT 59405-5240 | |
(406) 216-8000 | |
Not Available |
Full Name | Mr Larry D Hall Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 3010 15th Ave S, Great Falls, Montana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851061956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 240740 (Montana) | Secondary |
364SA2100X | Clinical Nurse Specialist - Acute Care | 11015472 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Rosa Medical Center | Milton, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Santa Rosa Hb Medical Services Llc | 4284089335 | 35 |
Entity Name | Cardiothoracic & Vascular Surgical Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851403125 PECOS PAC ID: 5395725188 Enrollment ID: O20040722000541 |
Entity Name | Coastal Vascular And Interventional Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285888180 PECOS PAC ID: 1355405549 Enrollment ID: O20090203000504 |
Entity Name | Floridian Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831530385 PECOS PAC ID: 8527297217 Enrollment ID: O20140128001837 |
Entity Name | App Of Florida Ed, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407338932 PECOS PAC ID: 7012252299 Enrollment ID: O20181217000426 |
Entity Name | App Of Florida Hm, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841772316 PECOS PAC ID: 9032457197 Enrollment ID: O20190214002509 |
Entity Name | Santa Rosa Hb Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982384988 PECOS PAC ID: 4284089335 Enrollment ID: O20231010004073 |
Mailing Address | Practice Location Address |
---|---|
Mr Larry D Hall Jr, 435 Waterbury Ct, Cantonment, FL 32533-8411 Ph: (850) 529-9135 | Mr Larry D Hall Jr, 3010 15th Ave S, Great Falls, MT 59405-5240 Ph: (406) 216-8000 |
Amanda H Lucas, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8318 | |
Ms. Sharon Kiely Howard, APRN CNS BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 900 6th St Sw, Suite #2, Great Falls, MT 59404 Phone: 406-727-3242 Fax: 406-727-3161 |