Dr Mitchell Maurice Hall, PT, DPT in Fort Wayne, IN - Medicare Physical Therapy Provider

Dr Mitchell Maurice Hall, PT, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Fort Wayne, Indiana. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Protailored Physical Therapy Llc and his current practice location is 12722 Tonkel Rd Ste 102, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 739-0300.

Dr Mitchell Maurice Hall is licensed to practice in Indiana (license number 05013055A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295213114.

Contact Information

	Dr Mitchell Maurice Hall, PT, DPT
	12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201
	(260) 739-0300
	(260) 818-2299

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mitchell Maurice Hall
Gender	Male
Speciality	Physical Therapy
Experience	6 Years
Location	12722 Tonkel Rd Ste 102, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mitchell Maurice Hall graduated from medical school in 2018

NPI Data:

NPI Number: 1295213114
Provider Enumeration Date: 08/02/2018
Last Update Date: 06/25/2020

Medicare PECOS Information:

PECOS PAC ID: 2567707052
Enrollment ID: I20190103001268

Medical Identifiers

Medical identifiers for Dr Mitchell Maurice Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295213114	NPI	-	NPPES
300017111	Medicaid	IN
05013055A	Other	IN	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	05013055A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Protailored Physical Therapy Llc	4385962497	17

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. Dr Mitchell Maurice Hall allows following entities to bill medicare on his behalf.

Provider Name	Protailored Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063805042 PECOS PAC ID: 4385962497 Enrollment ID: O20150421000554

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. Dr Mitchell Maurice 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
Dr Mitchell Maurice Hall, PT, DPT 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 Ph: (260) 739-0300	Dr Mitchell Maurice Hall, PT, DPT 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 Ph: (260) 739-0300

Reviews and Comments

Physical Therapist in Fort Wayne, IN

Mrs. Dawn Rochner Lang, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2237 Engle Rd, Fort Wayne, IN 46809 Phone: 260-747-2353
Tia Schrader, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Lahmeyer Rd, Fort Wayne, IN 46815 Phone: 260-432-4700
Mr. Todd Michael Sullivan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7930 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-5800 Fax: 260-432-9555
Deborah Guebard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3320 N Clinton St, Fort Wayne, IN 46805 Phone: 260-483-2100
Mr. David L Kuhn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-478-5230 Fax: 260-478-5235
Ms. Andrea Jantson Smith, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439
Elaine Coleman Prouty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9426 Lima Rd, Fort Wayne, IN 46818 Phone: 260-497-0328

Dr Mitchell Maurice Hall, PT, DPT - Medicare Physical Therapist in Fort Wayne, IN