Nicole Loraine Hall, is a medicare enrolled "Internal Medicine" in Suwanee, Georgia. Her current practice location is
356 Roberts Run Cv, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 495-1001.
Nicole Loraine Hall is licensed to practice in Georgia (license number 10398) 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 1174297873.
Provider's Profile
Full Name | Nicole Loraine Hall |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 356 Roberts Run Cv, Suwanee, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174297873
- Provider Enumeration Date: 08/05/2021
- Last Update Date: 04/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557722006
- Enrollment ID: I20230731002131
Medical Identifiers
Medical identifiers for Nicole Loraine Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174297873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | 10398 (Georgia) | Primary |
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. Nicole Loraine 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 |
Nicole Loraine Hall, 356 Roberts Run Cv, Suwanee, GA 30024-3701 Ph: (706) 495-1001 | Nicole Loraine Hall, 356 Roberts Run Cv, Suwanee, GA 30024-3701 Ph: (706) 495-1001 |
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