Daniel Jerome Hall, LCSW in Fort Hall, ID - Medicare Clinical Social Worker Provider

Daniel Jerome Hall, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Hall, Idaho. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Shoshone Bannock Tribes Inc and his current practice location is 717 Mission Road, Fort Hall, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 237-5631.

Daniel Jerome Hall is licensed to practice in Idaho (license number LCSW30964) 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 1366847428.

Contact Information

	Daniel Jerome Hall, LCSW
	717 Mission Road, Fort Hall, ID 83203
	(208) 237-5631
	(208) 237-5796

Map and Direction

Healthcare Provider's Profile

Full Name	Daniel Jerome Hall
Gender	Male
Speciality	Clinical Social Worker
Experience	21 Years
Location	717 Mission Road, Fort Hall, Idaho
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:

Daniel Jerome Hall graduated from medical school in 2004

NPI Data:

NPI Number: 1366847428
Provider Enumeration Date: 10/30/2014
Last Update Date: 10/30/2014

Medicare PECOS Information:

PECOS PAC ID: 8921434549
Enrollment ID: I20200130000563

Medical Identifiers

Medical identifiers for Daniel Jerome Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366847428	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW30964 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shoshone Bannock Tribes Inc	5496804429	2

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. Daniel Jerome Hall allows following entities to bill medicare on his behalf.

Entity Name	Shoshone Bannock Tribes Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225414519 PECOS PAC ID: 5496804429 Enrollment ID: O20190619001470

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. Daniel Jerome 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
Daniel Jerome Hall, LCSW Po Box 306, Fort Hall, ID 83203-0306 Ph: (208) 237-5631	Daniel Jerome Hall, LCSW 717 Mission Road, Fort Hall, ID 83203 Ph: (208) 237-5631

Reviews and Comments

Social Worker in Fort Hall, ID

Mr. Thayne Andersen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Road, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Willow Rose Abrahamson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 A. West Agency Road, Fort Hall, ID 83203 Phone: 208-339-9559
Ms. Shari L. Newsome, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Mission Road Building 248, Fort Hall Indian Agency, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Jessie A Bacon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Ms. Kristy Lee Broncho, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Matthew J Wadsworth, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 717 Mission Road, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796

Daniel Jerome Hall, LCSW - Medicare Clinical Social Worker in Fort Hall, ID