Charles Cory Hallacy, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Iola, Kansas. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Baxley Anesthetics Of Kansas and his current practice location is
3066 N Kentucky St, Iola, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 365-1000.
Charles Cory Hallacy is licensed to practice in Kansas (license number 557616) 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 1295211704.
Provider's Profile
| Full Name | Charles Cory Hallacy |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 6 Years |
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| Location | 3066 N Kentucky St, Iola, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charles Cory Hallacy graduated from nursing school in 2018
NPI Data:
- NPI Number: 1295211704
- Provider Enumeration Date: 07/17/2018
- Last Update Date: 07/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 8224388632
- Enrollment ID: I20180905003892
Medical Identifiers
Medical identifiers for Charles Cory Hallacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295211704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 557616 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Baxley Anesthetics Of Kansas | 1951776764 | 4 |
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. Charles Cory Hallacy allows following entities to bill medicare on his behalf.
| Entity Name | Labette County Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336133362
PECOS PAC ID: 5496664369
Enrollment ID: O20031112000344 |
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| Entity Name | Freeman Surgical Center Of Pittsburg, Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1881089076
PECOS PAC ID: 6608186895
Enrollment ID: O20151029002046 |
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| Entity Name | Saint Lukes Hospital Of Allen County Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639185457
PECOS PAC ID: 5496178691
Enrollment ID: O20200805001823 |
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| Entity Name | Baxley Anesthetics Of Kansas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508562059
PECOS PAC ID: 1951776764
Enrollment ID: O20230410001345 |
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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. Charles Cory Hallacy 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 |
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Charles Cory Hallacy,
303 S Pine St,
Arma, KS 66712-4008
Ph: () - | Charles Cory Hallacy,
3066 N Kentucky St,
Iola, KS 66749-1951
Ph: (620) 365-1000 |
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