Mr Thomas L Hall Jr, MSN, FNP-C is a medicare enrolled "Family Medicine" in Attica, Michigan. His current practice location is
4464 Williams St, Attica, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 656-9996.
Mr Thomas L Hall Jr is licensed to practice in Michigan (license number 4704300502) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750160727.
Provider's Profile
| Full Name | Mr Thomas L Hall Jr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 4464 Williams St, Attica, 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: 1750160727
- Provider Enumeration Date: 09/27/2023
- Last Update Date: 04/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527402254
- Enrollment ID: I20240221000643
Medical Identifiers
Medical identifiers for Mr Thomas L Hall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750160727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 4704300502 (Michigan) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4704300502 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 4704300502 (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. Mr Thomas L Hall Jr allows following entities to bill medicare on his behalf.
| Entity Name | Mclaren Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346396066
PECOS PAC ID: 3971416082
Enrollment ID: O20031106000025 |
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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. Mr Thomas L Hall Jr 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 |
|---|
Mr Thomas L Hall Jr, MSN, FNP-C
4464 Williams St,
Attica, MI 48412-7700
Ph: (810) 656-9996 | Mr Thomas L Hall Jr, MSN, FNP-C
4464 Williams St,
Attica, MI 48412-7700
Ph: (810) 656-9996 |
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