Mrs Jessica Ryan Hall, CNP in Lakeside Park, KY

Mrs Jessica Ryan Hall, CNP is a medicare enrolled "Nurse Practitioner" in Lakeside Park, Kentucky. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group, Inc and her current practice location is 2300 Chamber Center Dr, Lakeside Park, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 655-7040.

Mrs Jessica Ryan Hall is licensed to practice in Kentucky (license number 3013821) 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 1194165399.

Contact Information

	Mrs Jessica Ryan Hall, CNP
	2300 Chamber Center Dr, Lakeside Park, KY 41017
	(859) 655-7040
	(859) 331-2021

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Ryan Hall
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	2300 Chamber Center Dr, Lakeside Park, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jessica Ryan Hall graduated from nursing school in 2012

NPI Data:

NPI Number: 1194165399
Provider Enumeration Date: 07/02/2013
Last Update Date: 09/17/2019

Medicare PECOS Information:

PECOS PAC ID: 4486885076
Enrollment ID: I20191104001384

Medical Identifiers

Medical identifiers for Mrs Jessica Ryan Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194165399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	COA.14129-NP (Ohio)	Secondary
363L00000X	Nurse Practitioner	3013821 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Elizabeth Edgewood	Edgewood, KY	Hospital
St Elizabeth Florence	Florence, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Medical Group, Inc	2163326240	712

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. Mrs Jessica Ryan Hall allows following entities to bill medicare on her behalf.

Entity Name	Summit Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738

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. Mrs Jessica Ryan 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
Mrs Jessica Ryan Hall, CNP Po Box 635283, Cincinnati, OH 45263-5283 Ph: () -	Mrs Jessica Ryan Hall, CNP 2300 Chamber Center Dr, Lakeside Park, KY 41017 Ph: (859) 655-7040

Reviews and Comments

Nurse Practitioner Nurses in Lakeside Park, KY

Laurie A. Wallace, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2156 Chamber Center Dr, Lakeside Park, KY 41017 Phone: 859-341-6255 Fax: 859-547-1197
Jacqueline Leight Reichert Grimes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 334 Farmington Dr, Lakeside Park, KY 41017 Phone: 859-446-6263

Mrs Jessica Ryan Hall, CNP - Medicare Nurse Practitioner in Lakeside Park, KY