Dr Leroy Richard Hall, PSYD - Medicare Psychologist in Decatur, IL

Dr Leroy Richard Hall, PSYD is a medicare enrolled "Psychologist" provider in Decatur, Illinois. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Edgewood Clinical Services P.c., Psychology Specialists Ltd and his current practice location is 102 W Kenwood Ave Ste 120, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 876-2836.

Dr Leroy Richard Hall is licensed to practice in * (Not Available) (license number ) 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 1942318837.

Contact Information

Dr Leroy Richard Hall, PSYD
102 W Kenwood Ave Ste 120,
Decatur, IL 62526-6380
(217) 876-2836
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Leroy Richard Hall
GenderMale
SpecialityClinical Psychologist
Experience18 Years
Location102 W Kenwood Ave Ste 120, Decatur, Illinois
Accepts Medicare AssignmentsYes. 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 Leroy Richard Hall graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1942318837
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 04/30/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5395882658
  • Enrollment ID: I20091020000268

Medical Identifiers

Medical identifiers for Dr Leroy Richard Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942318837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edgewood Clinical Services P.c.397196390165
Psychology Specialists Ltd97391523807

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 Leroy Richard Hall allows following entities to bill medicare on his behalf.
Entity NamePsychology Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053368605
PECOS PAC ID: 9739152380
Enrollment ID: O20050112000476
Entity NameEdgewood Clinical Services P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295914646
PECOS PAC ID: 3971963901
Enrollment ID: O20230721001228

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 Leroy Richard 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 AddressPractice Location Address
Dr Leroy Richard Hall, PSYD
102 W Kenwood Ave Ste 120,
Decatur, IL 62526-6380

Ph: (217) 876-2836
Dr Leroy Richard Hall, PSYD
102 W Kenwood Ave Ste 120,
Decatur, IL 62526-6380

Ph: (217) 876-2836

Reviews and Comments


Psychologist in Decatur, IL

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