Samuel Hally, NP - Medicare Nurse Practitioner in Middleton, ID

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Samuel Hally, NP is a medicare enrolled "Nurse Practitioner - Family" in Middleton, Idaho. His current practice location is 1346 Cimarron Ct, Middleton, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 695-8001.

Samuel Hally is licensed to practice in Idaho (license number 65699) 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 1982210795.

Contact Information

Samuel Hally, NP
1346 Cimarron Ct,
Middleton, ID 83644-5894
(208) 695-8001
Not Available

Map and Direction




Provider's Profile

Full NameSamuel Hally
GenderMale
SpecialityNurse Practitioner - Family
Location1346 Cimarron Ct, Middleton, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982210795
  • Provider Enumeration Date: 09/17/2020
  • Last Update Date: 09/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7012329386
  • Enrollment ID: I20210209002747

Medical Identifiers

Medical identifiers for Samuel Hally such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982210795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 65699 (Idaho)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. Samuel Hally allows following entities to bill medicare on his behalf.
Entity NameMolina Healthcare Of Washington Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912235060
PECOS PAC ID: 1850427527
Enrollment ID: O20100405000336
Entity NameWashington Pac Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336678168
PECOS PAC ID: 4082986070
Enrollment ID: O20170825002664
Entity NameWa Pacs 2 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144706532
PECOS PAC ID: 6901156538
Enrollment ID: O20180831002235
Entity NameDaiya Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477027381
PECOS PAC ID: 6002158615
Enrollment ID: O20190501001702

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. Samuel Hally 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 AddressPractice Location Address
Samuel Hally, NP
1346 Cimarron Ct,
Middleton, ID 83644-5894

Ph: (208) 695-8001		Samuel Hally, NP
1346 Cimarron Ct,
Middleton, ID 83644-5894

Ph: (208) 695-8001

Reviews and Comments


Nurse Practitioner Nurses in Middleton, ID

Suzanne Elise Monaghan, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 381 S Middleton Rd Ste B, Middleton, ID 83644
Phone: 208-585-6311    
Beverlee K Furner, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 201 S 1st Ave E, Middleton, ID 83644
Phone: 208-585-0048    Fax: 208-585-6242
Rebecca Ann Swainston, MS FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 381 S Middleton Rd Ste B, Middleton, ID 83644
Phone: 208-585-6311    Fax: 208-585-6221
Mrs. Erin Keller, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 201 S. 1st Ave. E, Middleton, ID 83644
Phone: 208-585-6311    Fax: 208-585-6221
Jenifer A. Hughes, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 24789 Hartley Ln, Middleton, ID 83644
Phone: 208-484-6091    
Christina Marie Jones, DNP-FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 381 S Middleton Rd Ste B, Middleton, ID 83644
Phone: 208-585-6311    Fax: 208-585-6221

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.